Wearable Sensors and Machine Learning for Hypovolemia Problems in Occupational, Military and Sports Medicine: Physiological Basis, Hardware and Algorithms.

cardiac decompensation compensatory reserve dehydration environmental stress and adaptation physical work capabilities wearable sensors

Journal

Sensors (Basel, Switzerland)
ISSN: 1424-8220
Titre abrégé: Sensors (Basel)
Pays: Switzerland
ID NLM: 101204366

Informations de publication

Date de publication:
07 Jan 2022
Historique:
received: 05 11 2021
revised: 14 12 2021
accepted: 30 12 2021
entrez: 22 1 2022
pubmed: 23 1 2022
medline: 27 1 2022
Statut: epublish

Résumé

Hypovolemia is a physiological state of reduced blood volume that can exist as either (1) absolute hypovolemia because of a lower circulating blood (plasma) volume for a given vascular space (dehydration, hemorrhage) or (2) relative hypovolemia resulting from an expanded vascular space (vasodilation) for a given circulating blood volume (e.g., heat stress, hypoxia, sepsis). This paper examines the physiology of hypovolemia and its association with health and performance problems common to occupational, military and sports medicine. We discuss the maturation of individual-specific compensatory reserve or decompensation measures for future wearable sensor systems to effectively manage these hypovolemia problems. The paper then presents areas of future work to allow such technologies to translate from lab settings to use as decision aids for managing hypovolemia. We envision a future that incorporates elements of the compensatory reserve measure with advances in sensing technology and multiple modalities of cardiovascular sensing, additional contextual measures, and advanced noise reduction algorithms into a fully wearable system, creating a robust and physiologically sound approach to manage physical work, fatigue, safety and health issues associated with hypovolemia for workers, warfighters and athletes in austere conditions.

Identifiants

pubmed: 35062401
pii: s22020442
doi: 10.3390/s22020442
pmc: PMC8781307
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Office of Naval Research
ID : N00014-21-1-203
Organisme : Office of Naval Research
ID : N000141812579

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Auteurs

Jacob P Kimball (JP)

School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA.

Omer T Inan (OT)

School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA 30332, USA.

Victor A Convertino (VA)

Battlefield Health & Trauma Center for Human Integrative Physiology, US Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA.

Sylvain Cardin (S)

Naval Medical Research Unit, JBSA Fort Sam Houston, San Antonio, TX 78234, USA.

Michael N Sawka (MN)

School of Biological Sciences, Georgia Institute of Technology, Atlanta, GA 30332, USA.

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