Continuous Remote Patient Monitoring Shows Early Cardiovascular Changes in COVID-19 Patients.

COVID-19 artificial intelligence cardiopulmonary parameters high-risk population remote patient monitoring

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
17 Sep 2021
Historique:
received: 24 08 2021
revised: 14 09 2021
accepted: 15 09 2021
entrez: 28 9 2021
pubmed: 29 9 2021
medline: 29 9 2021
Statut: epublish

Résumé

COVID-19 exerts deleterious cardiopulmonary effects, leading to a worse prognosis in the most affected. This retrospective multi-center observational cohort study aimed to analyze the trajectories of key vitals amongst hospitalized COVID-19 patients using a chest-patch wearable providing continuous remote patient monitoring of numerous vital signs. The study was conducted in five COVID-19 isolation units. A total of 492 COVID-19 patients were included in the final analysis. Physiological parameters were measured every 15 min. More than 3 million measurements were collected including heart rate, systolic and diastolic blood pressure, cardiac output, cardiac index, systemic vascular resistance, respiratory rate, blood oxygen saturation, and body temperature. Cardiovascular deterioration appeared early after admission and in parallel with changes in the respiratory parameters, showing a significant difference in trajectories within sub-populations at high risk. Early detection of cardiovascular deterioration of COVID-19 patients is achievable when using frequent remote patient monitoring.

Identifiants

pubmed: 34575328
pii: jcm10184218
doi: 10.3390/jcm10184218
pmc: PMC8468944
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

JAMA Cardiol. 2020 Jul 1;5(7):811-818
pubmed: 32219356
IEEE J Transl Eng Health Med. 2021 Feb 11;9:4900311
pubmed: 33665044
Lancet. 2020 Mar 28;395(10229):1054-1062
pubmed: 32171076
Science. 2020 May 8;368(6491):
pubmed: 32234805
J Clin Med. 2020 Jun 22;9(6):
pubmed: 32580344
Pacing Clin Electrophysiol. 2021 Jun;44(6):995-1003
pubmed: 33908052
Anaesthesia. 2006 Nov;61(11):1031-9
pubmed: 17042839
Intensive Care Med. 2020 Apr;46(4):586-590
pubmed: 32125455
N Engl J Med. 2020 Jun 4;382(23):e82
pubmed: 32240581
N Engl J Med. 2020 Dec 17;383(25):2451-2460
pubmed: 32412710
Am J Hypertens. 2021 Nov 20;34(11):1171-1180
pubmed: 34143867
Lancet Digit Health. 2021 Jul;3(7):e455-e461
pubmed: 34020933
Int J Environ Res Public Health. 2021 Feb 21;18(4):
pubmed: 33669951
J Am Coll Cardiol. 2020 Oct 27;76(17):1965-1977
pubmed: 33092732
Nat Rev Cardiol. 2020 May;17(5):259-260
pubmed: 32139904
Expert Rev Med Devices. 2020 Jun;17(6):471-472
pubmed: 32475179
Front Digit Health. 2020 Jun 23;2:8
pubmed: 34713021
Sci Rep. 2020 Oct 19;10(1):17684
pubmed: 33077774
Biol Sex Differ. 2020 Sep 18;11(1):53
pubmed: 32948238
Front Med (Lausanne). 2021 Aug 05;8:693926
pubmed: 34422859
JAMA Cardiol. 2020 Nov 01;5(11):1265-1273
pubmed: 32730619
J Am Coll Cardiol. 2020 Oct 27;76(17):1978-1981
pubmed: 33092733
Resuscitation. 2016 May;102:1-5
pubmed: 26898412
Int J Pept. 2012;2012:256294
pubmed: 22536270
JAMA Cardiol. 2020 Nov 1;5(11):1281-1285
pubmed: 32730555
Int J Nurs Stud. 2020 Apr;104:103515
pubmed: 32105974
Lancet Infect Dis. 2020 Oct;20(10):1141-1150
pubmed: 32562601
Nat Med. 2021 Jan;27(1):73-77
pubmed: 33122860
J Am Coll Cardiol. 2020 Oct 27;76(17):2011-2023
pubmed: 33092737
Obes Rev. 2020 Nov;21(11):e13128
pubmed: 32845580
Eur Heart J Digit Health. 2021 Jan 11;2(1):171-174
pubmed: 37155653
BMC Geriatr. 2020 Oct 16;20(1):409
pubmed: 33066750
N Engl J Med. 2020 May 21;382(21):2012-2022
pubmed: 32227758
Obes Res Clin Pract. 2020 Jul - Aug;14(4):295-300
pubmed: 32660813
Sci Rep. 2020 Sep 30;10(1):16116
pubmed: 32999400
Anesth Analg. 2018 Mar;126(3):826-832
pubmed: 29293179

Auteurs

Arik Eisenkraft (A)

Institute for Research in Military Medicine, The Hebrew University Faculty of Medicine, P.O. Box 12272, Jerusalem 9112102, Israel.
The Israel Defense Force Medical Corps, P.O. Box 12272, Jerusalem 9112102, Israel.
Biobeat Technologies Ltd., 22 Efal St., Petah Tikva 4951122, Israel.

Yasmin Maor (Y)

Wolfson Medical Center, 62 Ha-Lokhamim St. 62, Holon 58100, Israel.
The Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, Tel Aviv 6997801, Israel.

Keren Constantini (K)

Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine and Sylvan Adams Sports Institute, Tel Aviv University, P.O. Box 39040, Tel Aviv 6997801, Israel.

Nir Goldstein (N)

Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine and Sylvan Adams Sports Institute, Tel Aviv University, P.O. Box 39040, Tel Aviv 6997801, Israel.

Dean Nachman (D)

Institute for Research in Military Medicine, The Hebrew University Faculty of Medicine, P.O. Box 12272, Jerusalem 9112102, Israel.
The Israel Defense Force Medical Corps, P.O. Box 12272, Jerusalem 9112102, Israel.
Heart Institute, Hadassah Ein Kerem Medical Center, P.O. Box 911201, Jerusalem 9112102, Israel.

Ran Levy (R)

Maccabi Healthcare Services, P.O. Box 50493, Tel Aviv 68125, Israel.

Michael Halberthal (M)

General Directorate Rambam Health Care Campus, P.O. Box 9602, Haifa 3109601, Israel.
The Bruce Rappaport Faculty of Medicine, Technion, P.O. Box 9649, Haifa 3525433, Israel.

Netanel A Horowitz (NA)

General Directorate Rambam Health Care Campus, P.O. Box 9602, Haifa 3109601, Israel.
The Bruce Rappaport Faculty of Medicine, Technion, P.O. Box 9649, Haifa 3525433, Israel.

Ron Golan (R)

The Baruch Padeh Medical Center Poriya, The Faculty of Medicine in Galilee, Bar Ilan University, Upper Galilee, Poria 1528001, Israel.

Elli Rosenberg (E)

Internal Medicine A, The Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Be'er Sheva 84101, Israel.

Eitan Lavon (E)

The Kaplan Medical Center, The Hebrew University Faculty of Medicine, P.O. Box 1, Rehovot 76100, Israel.

Ornit Cohen (O)

Wolfson Medical Center, 62 Ha-Lokhamim St. 62, Holon 58100, Israel.
The Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, Tel Aviv 6997801, Israel.
Faculty of Health Science, Ben-Gurion University of the Negev, P.O. Box 653, Be'er Sheva 8410501, Israel.

Guy Shapira (G)

The Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, Tel Aviv 6997801, Israel.

Noam Shomron (N)

The Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, Tel Aviv 6997801, Israel.

Arik Ben Ishay (AB)

Biobeat Technologies Ltd., 22 Efal St., Petah Tikva 4951122, Israel.

Efrat Sand (E)

Biobeat Technologies Ltd., 22 Efal St., Petah Tikva 4951122, Israel.

Roei Merin (R)

Biobeat Technologies Ltd., 22 Efal St., Petah Tikva 4951122, Israel.

Meir Fons (M)

Biobeat Technologies Ltd., 22 Efal St., Petah Tikva 4951122, Israel.

Romi Littman (R)

Biobeat Technologies Ltd., 22 Efal St., Petah Tikva 4951122, Israel.

Yftach Gepner (Y)

Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine and Sylvan Adams Sports Institute, Tel Aviv University, P.O. Box 39040, Tel Aviv 6997801, Israel.

Classifications MeSH