Article
Multidisciplinary Sciences
Joany M. Zachariasse, Ian K. Maconochie, Ruud G. Nijman, Susanne Greber-Platzer, Frank J. Smit, Daan Nieboer, Johan van der Lei, Claudio F. Alves, Henriette A. Moll
Summary: This study successfully developed and validated new discriminators based on vital signs to improve triage of children in the emergency department. These new discriminators led to a small but relevant increase in sensitivity and overall performance, and should be implemented in the Manchester Triage System.
Article
Medicine, General & Internal
Yi-Chia Su, Cheng-Yu Chien, Chung-Hsien Chaou, Kuang-Hung Hsu, Shi-Ying Gao, Chip-Jin Ng
Summary: This study aimed to determine appropriate vital sign cut points for triage designation in older patients visiting the emergency department. The newly proposed triage scale showed comparable discriminatory ability for triage in older patients compared to the existing triage scale. Revising the vital signs triage criteria for older patients could improve the identification of critical cases and triage accuracy in the emergency department.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2022)
Article
Critical Care Medicine
Hansol Chang, Weon Jung, Juhyung Ha, Jae Yong Yu, Sejin Heo, Gun Tak Lee, Jong Eun Park, Se Uk Lee, Sung Yeon Hwang, Hee Yoon, Won Chul Cha, Tae Gun Shin, Taerim Kim
Summary: This study aims to predict latent shock by observing sequential changes in patient vital signs. Various prediction models, including logistic regression, random forest classifier, multilayer perceptron, and recurrent neural network, were used and evaluated through external validation. The results demonstrated good performance of these models in predicting latent shock.
Article
Emergency Medicine
Jay G. Ladde, Stacie Miller, Kevin Chin, Cole Feffer, George Gulenay, Kirsten Kepple, Christopher Hunter, Josef G. Thundiyil, Linda Papa
Summary: This study evaluated the ability of end-tidal carbon dioxide (ETCO2) to predict in-hospital mortality and ICU admission compared to standard vital signs at ED triage, as well as its correlation with measures of metabolic acidosis. The results showed that ETCO2 was a better predictor of in-hospital mortality and ICU admission than standard vital signs, and it was significantly correlated with measures of metabolic acidosis.
ACADEMIC EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Magdalena Kazmierczak, Amy D. Thompson, Andrew D. DePiero, Steven M. Selbst
Summary: Abnormal vital signs at pediatric emergency department discharge are associated with patient outcomes such as return visits and admission. Few children require readmission and even fewer suffer serious adverse outcomes.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Medicine, General & Internal
Joshua W. Joseph, Maura Kennedy, Alden M. Landry, Regan H. Marsh, Da'Marcus E. Baymon, Dana E. Im, Paul C. Chen, Margaret E. Samuels-Kalow, Lauren M. Nentwich, Noemie Elhadad, Leon D. Sanchez
Summary: This study found racial disparities in triage scores and physician evaluations in emergency departments, with Black, Hispanic, and other racial and ethnic patients receiving less acute triage scores despite undergoing more involved physician workups. This suggests potential mistriage.
Article
Geriatrics & Gerontology
Soren Kabell Nissen, Marco Rueegg, Christopher R. Carpenter, Tobias Kaeppeli, Jeanette-Marie Busch, Anders Fournaise, Thomas Dreher-Hummel, Roland Bingisser, Mikkel Brabrand, Christian H. Nickel
Summary: Combining frailty and aggregated vital signs accurately predicts 30-day mortality for older people presenting at the Emergency Department. It demonstrates the clinical interaction between frailty and illness severity. The frailty adjusted Prognosis in ED tool (FaP-ED) provides an operational tool for the concept of geriatric urgency in the Emergency Department.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Review
Health Care Sciences & Services
Michael Jose Joseph, Matthew Summerscales, Saieesha Yogesan, Anthony Bell, Michele Genevieve, Yogesan Kanagasingam
Summary: Triage is a system used to prioritize patients in the emergency department based on their need for urgent care. E-triage interventions like kiosks have been proposed as a solution to overcrowding. Our literature review found that introducing kiosks in emergency departments can improve the triage process, with six out of nine articles reporting positive findings.
NPJ DIGITAL MEDICINE
(2023)
Review
Engineering, Electrical & Electronic
Lucy Taylor, Xiaorong Ding, David Clifton, Huiqi Lu
Summary: Worldwide, an estimated 461,000 people die from asthma attacks each year. This article aims to provide a comprehensive review of the current state-of-the-art wearable sensors and devices that use vital signs for asthma patient monitoring and management. These technologies can directly measure breathing rate and airflow sound or indirectly estimate them using algorithms based on electrocardiogram (ECG), photoplethysmogram (PPG), and chest movements. Other vital signs used in asthma patient monitoring include blood oxygen saturation, temperature, blood pressure, verbal sound, and pain responses.
IEEE SENSORS JOURNAL
(2023)
Article
Medicine, General & Internal
Rex Pui Kin Lam, Kin Ling Chan, Arthur Chi Kin Cheung, Kin Wa Wong, Eric Ho Yin Lau, Lujie Chen, Vi Ka Chaang, Patrick Chiu Yat Woo
Summary: The triage heart rate, respiratory rate, and temperature had limited value in diagnosing influenza in children aged 5 years and under. Fever, cough, and/or rhinitis symptoms had a better diagnostic performance than the Centers for Disease Control and Prevention influenza-like illness criteria in predicting influenza in this age group.
Article
Emergency Medicine
Theodore W. Heyming, Chloe Knudsen-Robbins, William Feaster, Louis Ehwerhemuepha
Summary: The study developed a machine learning model to predict the disposition of pediatric emergency department patients based on triage assessment and historical information. The model demonstrated high accuracy in training and testing, providing an effective tool for healthcare providers to stratify patients effectively.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Computer Science, Theory & Methods
Daniel McDuff
Summary: This article explores the need for remote tools in healthcare monitoring, specifically focusing on camera measurement of vital signs. It highlights the advancements made in optics, machine learning, computer vision, and medicine that have enabled the progress in this field. The article provides a comprehensive survey of the techniques used for camera measurement of physiological vital signs, covering both clinical and non-clinical applications and discussing the challenges that need to be overcome for further development.
ACM COMPUTING SURVEYS
(2023)
Review
Pediatrics
Brynne A. Sullivan, Karen D. Fairchild
Summary: Neonatal sepsis is a major cause of morbidity and mortality in neonatal intensive care units, with abnormal vital signs serving as physiological markers of sepsis. The systemic inflammatory response to pathogens signals the autonomic nervous system, resulting in changes in temperature, respiratory rate, heart rate, and blood pressure.
PEDIATRIC RESEARCH
(2022)
Article
Computer Science, Information Systems
Fengyu Wang, Xiaolu Zeng, Chenshu Wu, Beibei Wang, K. J. Ray Liu
Summary: As automobiles have become an essential part of our daily lives, advanced driver assistance systems (ADASs) are gaining attention in enhancing driver safety and convenience. In this study, researchers propose a novel system that uses commercial millimeter-wave radio technology to estimate the driver's vital signs even in the presence of motion artifacts. Experimental results show that the proposed system achieves high accuracy in real driving environments.
IEEE INTERNET OF THINGS JOURNAL
(2022)
Article
Computer Science, Information Systems
Vlada Rozova, Katrina Witt, Jo Robinson, Yan Li, Karin Verspoor
Summary: Accurate identification of self-harm presentations to Emergency Departments through a machine learning-based NLP model can provide timely mental health support and aid in understanding suicidal intent burden. The best-performing model achieved 90% Precision and 90% Recall on blind test data, demonstrating the practical value of NLP in identifying patients for mental health follow-up and supporting suicide prevention efforts.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Anesthesiology
Mette Legaard Andersson, Patricia Duch, Ebbe Lahn Bessmann, Lars Hyldborg Lundstrom, Kim Ekelund
Summary: This study compared the effectiveness of e-learning and written course material in obstetric anaesthesia. The results showed that e-learning performed better in terms of knowledge compared to written course material.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Anesthesiology
Christian Steen-Hansen, Mikkel H. Madsen, Kai H. W. Lange, Lars H. Lundstrom, Christian Rothe
Summary: In this study, a low volume of a modified supraclavicular brachial plexus block was compared to a high volume. The results showed that there was no significant difference in the success rate of the shoulder block between the low volume and high volume groups, but the low volume group had less change in lung function.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Anesthesiology
Lars Hyldborg Lundstrom, Anders K. Norskov, Line D. Kjeldgaard, Jorn Wetterslev, Charlotte Rosenstock
Summary: From 2008 to 2016, there was a significant increase in the use of video laryngoscopy, becoming the first-choice device for airway management. The data also showed a noticeable reduction in failed intubation over the time of observation.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Anesthesiology
Caroline Hjelmdal, Christina Draegert, Morten Vester-Andersen, Ana Kowark, Mark S. Coburn, Lars H. Rasmussen, Lars Lundstrom, Jacob Steinmetz, POSE Study Grp
Summary: The study aimed to assess the association between chronic antithrombotic therapy and intra-operative transfusion of red blood cells in elderly patients undergoing elective procedures. The results showed a correlation between chronic antithrombotic therapy and intra-operative transfusion of red blood cells in elderly patients, but not in a multivariate adjusted model.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Anesthesiology
Joakim Steiness, Daniel Hagi-Pedersen, Troels H. Lunn, Anders K. Norskov, Martin Lindberg-Larsen, Ben K. Graungaard, Lars H. Lundstrom, Peter Lindholm, Stig Brorson, Manuel J. Bieder, Torben Beck, Michael Skettrup, Adam G. von Cappeln, Kasper H. Thybo, Claus Varnum, Lina Pleckaitiene, Niels Anker Pedersen, Soren Overgaard, Ole Mathiesen, Janus C. Jakobsen
Summary: The RECIPE trial aims to systematically investigate the effects of different combinations of paracetamol, ibuprofen and dexamethasone for pain treatment after total hip arthroplasty. It is important to have a detailed statistical analysis plan to ensure transparency, minimize bias and prevent data-driven analysis. The study involves randomizing patients undergoing primary total hip arthroplasty into different groups, initiating interventions preoperatively and continuing them postoperatively for 24 hours.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Anesthesiology
Anders Kehlet Norskov, Janus Christian Jakobsen, Arash Afshari, Jannie Bisgaard, Anja Geisler, Daniel Hagi-Pedersen, Kai Henrik Wiborg Lange, Lars Hyldborg Lundstrom, Troels Haxholdt Lunn, Mathias Maagaard, Ann Merete Moller, Helene Korvenius Nedergaard, Lone Nikolajsen, Markus Harboe Olsen, Peter Juhl-Olsen, Bodil Steen Rasmussen, Matias Vested, Morten Vester-Andersen, Anne Wikkelso, Ole Mathiesen
Summary: Evidence in perioperative care is insufficient, highlighting the need for large research programmes to provide solid evidence for interventions. The Collaboration for Evidence-based Practice and Research in Anaesthesia (CEPRA) aims to improve clinical treatment and outcomes, disseminate results, and extend collaboration globally. CEPRA prioritizes patient-focused research and follows high methodological standards.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Article
Obstetrics & Gynecology
I. L. A. Ammitzboll, B. R. Andersen, K. H. W. Lange, T. Clausen, E. C. L. Lokkegaard
Summary: This study aimed to evaluate the risk factors for difficult fetal extraction in emergency caesarean sections, specifically examining the use of top-up epidural anesthesia compared to spinal anesthesia. The study also explored the consequences of difficult fetal extraction on neonatal and maternal morbidity.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2023)
Article
Emergency Medicine
Theo Walther Jensen, Annette Kjaer Ersboll, Fredrik Folke, Mikkel Porsborg Andersen, Stig Nikolaj Blomberg, Mathias Geldermann Holgersen, Lars Bredevang Andersen, Freddy Lippert, Christian Torp-Pedersen, Helle Collatz Christensen
Summary: This study aimed to examine the geographical association between BLS course participation, bystander CPR, and 30-day survival from OHCA in Denmark. The results showed that a 5% increase in BLS course certificates at municipality level was significantly associated with increased bystander CPR rates. This effect was even more profound during out-of-office hours.
OPEN ACCESS EMERGENCY MEDICINE
(2023)
Article
Anesthesiology
Christine N. Svendsen, Gine L. Glargaard, Lars H. Lundstrom, Charlotte V. Rosenstock, Anne C. Haug, Arash Afshari, Rasmus Hesselfeldt, Camilla Strom
Summary: This study investigated the technical skill performance of consultant anaesthetists in performing flexible bronchoscopic intubation using a second-generation supraglottic airway device. The results showed that despite reporting high confidence, at least one domain of the global rating scale was deemed 'not competent' in 30% of cases, indicating the potential for improvement of skill competence among professionals.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Review
Anesthesiology
Sanja Pisljagic, Jens L. Temberg, Mathias T. Steensbaek, Sina Yousef, Mathias Maagaard, Lana Chafranska, Kai H. W. Lange, Christian Rothe, Lars H. Lundstrom, Anders K. Norskov
Summary: This study aims to consolidate the literature on the effect and harm of peripheral nerve blocks compared with other anesthesia modalities for closed reduction of distal radius fractures in adults through a systematic review and meta-analysis. The results of this study may guide clinicians in their decision-making.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Letter
Obstetrics & Gynecology
I. L. A. Ammitzboll, B. R. Andersen, K. H. W. Lange, T. Clausen, E. C. L. Lokkegaard
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2023)
Article
Anesthesiology
Liva Thoft Jensen, Lars Lundstrom, Ana Kowark, Mark Coburn, Jacob Steinmetz
Summary: This study found a high prevalence of frailty in patients aged 90 years or above compared to those aged 80-89. Frailty was found to be associated with an increased risk of 30-day mortality. Surprisingly, age was not a significant risk factor in the adjusted mortality analysis.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)
Review
Anesthesiology
Jens L. Temberg, Sanja Pisljagic, Mathias T. Steensbaek, Sina Yousef, Lana Chafranska, Kai H. W. Lange, Christian Rothe, Anders K. Norskov, Mathias Maagaard, Lars H. Lundstrom
Summary: This protocol describes a systematic review and meta-analysis aimed at evaluating the clinical effects of mixing short- and long-acting local anesthetics in peripheral nerve blocks. The review will focus on the duration of block analgesia as the primary outcome, with secondary outcomes including block onset time, sensory and motor block duration. Exploratory outcomes will assess postoperative pain scores, cumulative 24-h opioid consumption, and the prevalence of serious adverse events.
ACTA ANAESTHESIOLOGICA SCANDINAVICA
(2023)