ArticleJournal of clinical monitoring and computing2022
Adaptive threshold-based alarm strategies for continuous vital signs monitoring.
Article in Journal of clinical monitoring and computing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.
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Who cites it
44 citing papers in PubMed, 77 citations in OpenAlex.
- Alert burden when monitoring patients' vital signs continuously at home.Journal of clinical monitoring and computing · 2026Article
- A Multimodal Closed-Loop Framework for Vital Sign Monitoring and Intelligent Diagnosis of Amusement Ride Passengers Under High-Dynamic Motion.Sensors (Basel, Switzerland) · 2026Article
- Using AI to Detect Psychosis Relapse: Scoping Review.JMIR mental health · 2026Article
- The Usability of Continuous Monitoring Devices With Deterioration Alerting Systems in Noncritical Care Units: Scoping Review.Interactive journal of medical research · 2026Review
- Balancing sensitivity and specificity: investigating the effect of age delay and critical illness events on the number of threshold alarms.Journal of clinical monitoring and computing · 2026Article
- A Clinically Oriented Framework for Real-Time Heart Rate Variability Analysis: A Novel Approach To Personalized and Robust Monitoring.Journal of medical systems · 2026Article
- Barriers to managing clinical alarms in intensive care units: a cross-sectional study.Revista latino-americana de enfermagem · 2026Article
- Machine learning-driven prediction of in-hospital cardiac arrest among critically ill patients with traumatic spinal cord injury: a multicenter cohort study.Frontiers in cardiovascular medicine · 2026Article
- Enhancing Clinical Decision-Making in Pediatric Monitoring: Learning Threshold Alarm Patterns to Predict Critical Illness.Bioengineering (Basel, Switzerland) · 2025Article
- Do we need AI guardians to protect us from health information overload?NPJ digital medicine · 2025Article
- Context-Aware Alerting in Elderly Care Facilities: A Hybrid Framework Integrating LLM Reasoning with Rule-Based Logic.Sensors (Basel, Switzerland) · 2025Article
- Wearable Devices in Healthcare Beyond the One-Size-Fits All Paradigm.Sensors (Basel, Switzerland) · 2025Review
- Qualitative Interview with Older Adults and Caregivers on their Perspectives with Self-Management and Remote Vital Sign Monitoring.Canadian geriatrics journal : CGJ · 2025Article
- Wearable biosensors for pediatric hospitals: a scoping review.Pediatric research · 2025Article
- Employing Eye Trackers to Reduce Nuisance Alarms.Sensors (Basel, Switzerland) · 2025Article
- Exploring ICU nurses' response to alarm management and strategies for alleviating alarm fatigue: a meta-synthesis and systematic review.BMC nursing · 2025Article
- The Value of Clinical Decision Support in Healthcare: A Focus on Screening and Early Detection.Diagnostics (Basel, Switzerland) · 2025Review
- Exploring the Relationship Between Continuously Monitored Vital Signs, Clinical Deterioration, and Clinical Actions.Journal of clinical medicine · 2025Article
- Feasibility of smart ring-based remote monitoring in hospitalized patients: evaluation of signal transmission latency and data acquisition continuity.Frontiers in bioengineering and biotechnology · 2025Article
- The completeness, accuracy and impact on alerts, of wearable vital signs monitoring in hospitalised patients.BMC digital health · 2025Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Continuous vital signs monitoring in post-surgical ward patients may support early detection of clinical deterioration, but novel alarm approaches are required to ensure timely notification of abnormalities and prevent alarm-fatigue. The current study explored the performance of classical and various adaptive threshold-based alarm strategies to warn for vital sign abnormalities observed during development of an adverse event. A classical threshold-based alarm strategy used for continuous vital signs monitoring in surgical ward patients was evaluated retrospectively. Next, (combinations of) six methods to adapt alarm thresholds to personal or situational factors were simulated in the same dataset. Alarm performance was assessed using the overall alarm rate and sensitivity to detect adverse events. Using a wireless patch-based monitoring system, 3999 h of vital signs data was obtained in 39 patients. The clinically used classical alarm system produced 0.49 alarms/patient/day, and alarms were generated for 11 out of 18 observed adverse events. Each of the tested adaptive strategies either increased sensitivity to detect adverse events or reduced overall alarm rate. Combining specific strategies improved overall performance most and resulted in earlier presentation of alarms in case of adverse events. Strategies that adapt vital sign alarm thresholds to personal or situational factors may improve early detection of adverse events or reduce alarm rates as compared to classical alarm strategies. Accordingly, further investigation of the potential of adaptive alarms for continuous vital signs monitoring in ward patients is warranted.
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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.