Evidence map›Paper›PMID 32284876›Full record

ArticleJournal of rehabilitation and assistive technologies engineering

Toward mitigating pressure injuries: Detecting patient orientation from vertical bed reaction forces.

Gordon Wong, Sharon Gabison, Elham Dolatabadi, Gary Evans, Tara Kajaks, Pamela Holliday, Hisham Alshaer, Geoff Fernie, Tilak Dutta

Abstract read
In one paragraph

Article in Journal of rehabilitation and assistive technologies engineering. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gordon WongKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-5269-2051
Sharon GabisonKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-5202-3736
Elham DolatabadiKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Gary EvansKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Tara KajaksKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-2848-3756
Pamela HollidayKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Hisham AlshaerKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Geoff FernieKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Tilak DuttaKITE, Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionProlonged bed rest without repositioning can lead to pressure injuries. However, it can be challenging for caregivers and patients to adhere to repositioning schedules. A device that alerts caregivers when a patient has remained in the same orientation for too long may reduce the incidence and/or severity of pressure injuries. This paper proposes a method to detect a person's orientation in bed using data from load cells placed under the legs of a hospital grade bed.

methodsTwenty able-bodied individuals were positioned into one of three orientations (supine, left side-lying, or right side-lying) either with no support, a pillow, or a wedge, and the head of the bed either raised or lowered. Breathing pattern characteristics extracted from force data were used to train two machine learning classification systems (Logistic Regression and Feed Forward Neural Network) and then evaluate for their ability to identify each participant's orientation using a leave-one-participant-out cross-validation.

resultsThe Feed Forward Neural Network yielded the highest orientation prediction accuracy at 94.2%.

conclusionsThe high accuracy of this non-invasive system's ability to a participant's position in bed shows potential for this algorithm to be useful in developing a pressure injury prevention tool.

Indexed as

bed positionmachine learningPressure injuriestechnology

Identifiers

PMID32284876
PMCPMC7137131

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.