Evidence map›Paper›PMID 40576940›Full record

ReviewJournal of clinical monitoring and computing2025

Future perspectives of heart rate and oxygenation monitoring in the neonatal intensive care unit - a narrative review.

Emma Williams, Rudolf Ascherl, Vincent D Gaertner, Greta Sibrecht, Serife Kurul, Marie-Louise Herrmann, Eniko Szakmar, Genny Raffaeli, Ilia Bresesti, Kerstin Jost

Abstract readReview
In one paragraph

Review in Journal of clinical monitoring and computing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Emma WilliamsDepartment of Women and Children's Health, Faculty of Life Sciences & Medicine, King's College London, London, UK.
Rudolf AscherlDepartment of Neonatology, Hospital for Children and Adolescents, University of Leipzig Medical Center, Leipzig, Germany.
Vincent D GaertnerDivision of Neonatology, Dr von Hauner Children's Hospital, Ludwig-Maximilians- Universität München, Munich, Germany.
Greta SibrechtII Department of Neonatology, Poznan University of Medical Sciences, Poznan, Poland.
Serife KurulDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
Marie-Louise HerrmannDepartment of Neonatology, University Hospital Leipzig, Leipzig, Germany.
Eniko SzakmarDivision of Neonatology, Pediatric Center, Semmelweis University, Budapest, Hungary.
Genny RaffaeliFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, Milan, Italy.
Ilia BresestiDivision of Neonatology, ASST - Settelaghi, "F. Del Ponte" Hospital, University of Insubria, Varese, Italy.
Kerstin JostDepartment of Neonatology, University Children´s Hospital Basel, Basel, Switzerland. Kerstin.jost@ki.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVital sign monitoring plays a pivotal role in assessing and managing the clinical condition of vulnerable newborn infants in the delivery room and in the neonatal intensive care unit (NICU), with advancements in technology over the last years paving the way for newer and less invasive monitoring techniques.

methodsWe conducted a narrative review of the literature in PubMed, Embase, GoogleScholar, and ClinicalTrials.gov. to describe newer technologies in neonatal monitoring of heart rate and oxygen saturation including secondary data-use, focusing also on promising studies which are currently underway.

resultsInnovations such as photoplethysmography, wireless skin sensors, spectroscopy and tremolo sonification can provide a continuous and comprehensive assessment of neonatal vital sign monitoring, including heart rate and oxygen saturations, allowing for the enhancement of early detection of potential complications. Moreover advanced mathematical models, such as heart rate characteristic variability and closed loop automated systems, have shown promise in processing and storing vast amounts of data, aiding in the early prediction of adverse clinical outcomes, supporting decision-making and guiding the development of future studies.

conclusionAs the field of vital sign monitoring in the NICU continues to evolve, it is essential to address challenges related to novel modalities, data privacy, algorithm accuracy, and seamless integration into existing healthcare systems. By harnessing the potential of innovative technologies, the future of vital sign monitoring in the NICU promises improved neonatal outcomes, enhanced healthcare delivery and facilitation of individualisation of care.

Indexed as

Heart RateIntensive Care Units, NeonatalOxygenAlgorithmsHumansInfant, NewbornIntensive Care, NeonatalMonitoring, PhysiologicOximetryOxygen SaturationPhotoplethysmographyVital SignsOxygenHeart rateMonitoringNeonatalOxygenTechnology

Identifiers

PMID40576940
PMCPMC12474734

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Registered trials

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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.