Evidence map›Paper›PMID 33182638›Full record

ReviewSensors (Basel, Switzerland)2020

Wearable Sensors Incorporating Compensatory Reserve Measurement for Advancing Physiological Monitoring in Critically Injured Trauma Patients.

Victor A Convertino, Steven G Schauer, Erik K Weitzel, Sylvain Cardin, Mark E Stackle, Michael J Talley, Michael N Sawka, Omer T Inan

Open access · goldAbstract readReview
In one paragraph

Review in Sensors (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
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

18 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
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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

8 authors at 6 institutions in 1 country.

Victor A ConvertinoBattlefield Health & Trauma Center for Human Integrative Physiology, US Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA.
Steven G SchauerBattlefield Health & Trauma Center for Human Integrative Physiology, US Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA.
Erik K WeitzelUniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.ORCID 0000-0001-9155-3556
Sylvain CardinNavy Medical Research Unit, San Antonio, TX 78234, USA.
Mark E StackleUS Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA.
Michael J TalleyUS Army Medical Research and Development Command, Fort Detrick, Frederick, MD 21702, USA.
Michael N SawkaGeorgia Institute of Technology, Atlanta, GA 30332, USA.
Omer T InanGeorgia Institute of Technology, Atlanta, GA 30332, USA.
Brooke Army Medical Center · USGeorgia Institute of Technology · USUniformed Services University of the Health Sciences · USUnited States Army Institute of Surgical Research · USUnited States Army Medical Research and Development Command · USUnited States Department of the Navy · US

Funding

U.S. Army Medical Research and Development Command and the Congressionally Directed Medical Research Program DM180240
6 · The paper itself

Abstract

Vital signs historically served as the primary method to triage patients and resources for trauma and emergency care, but have failed to provide clinically-meaningful predictive information about patient clinical status. In this review, a framework is presented that focuses on potential wearable sensor technologies that can harness necessary electronic physiological signal integration with a current state-of-the-art predictive machine-learning algorithm that provides early clinical assessment of hypovolemia status to impact patient outcome. The ability to study the physiology of hemorrhage using a human model of progressive central hypovolemia led to the development of a novel machine-learning algorithm known as the compensatory reserve measurement (CRM). Greater sensitivity, specificity, and diagnostic accuracy to detect hemorrhage and onset of decompensated shock has been demonstrated by the CRM when compared to all standard vital signs and hemodynamic variables. The development of CRM revealed that continuous measurements of changes in arterial waveform features represented the most integrated signal of physiological compensation for conditions of reduced systemic oxygen delivery. In this review, detailed analysis of sensor technologies that include photoplethysmography, tonometry, ultrasound-based blood pressure, and cardiogenic vibration are identified as potential candidates for harnessing arterial waveform analog features required for real-time calculation of CRM. The integration of wearable sensors with the CRM algorithm provides a potentially powerful medical monitoring advancement to save civilian and military lives in emergency medical settings.

Indexed as

HypovolemiaWearable Electronic DevicesAlgorithmsHemodynamicsHemorrhageHumansMonitoring, PhysiologicWounds and Injuriescompensatory reservemedical monitoringphysiologyvital signswearable sensors

Identifiers

PMID33182638
PMCPMC7697670
OpenAlexW3101555142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.