A Novel Protocol for the Early Detection of COVID-19 at a Skilled Nursing Facility.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-09-03 eCollection Date: 2024-01-01 DOI:10.1177/23337214241279531
Linda Mayhue, Jeong Woo Glen Choi, Sun Jong Sam Yang, Jennifer Jacobsen, Yuna Lee, Salim Ahmed
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Abstract

Accurate measurement of vital signs are important at skilled nursing facilities (SNF). Recent technological advancements now enable automated vital sign measurements. This overcomes the limitations of traditional manual vital sign measurement, which is time-consuming and error-prone. We present a novel case where continuous vital sign measurement was used to detect meaningful vital sign changes that led to early detection of a COVID-19 outbreak at a SNF. Residents were continuously monitored for changes to baseline respiratory rate and heart rate and with a Probability of Change (POC). Variations in baseline respiratory rate and heart rate occurred in 66% and 42%, respectively, of COVID-19 positive individuals; 83% of participants had statistically significant variations in either vital sign. Clinical investigations are typically triggered by vital signs outside normal ranges. We present a novel methodology to detect subtle vital sign changes that can lead to earlier diagnosis, treatment, and recovery from infections, like COVID-19.

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在专业护理机构早期检测 COVID-19 的新方案。
准确测量生命体征对专业护理机构(SNF)非常重要。最近的技术进步实现了生命体征的自动测量。这克服了传统人工生命体征测量耗时长、易出错的局限性。我们介绍了一个利用连续生命体征测量来检测有意义的生命体征变化,从而及早发现 SNF 中 COVID-19 爆发的新案例。对住院患者的基线呼吸频率和心率变化进行连续监测,并采用变化概率 (POC)。在 COVID-19 阳性者中,分别有 66% 和 42% 的人出现了基线呼吸频率和心率变化;83% 的参与者的任一生命体征都出现了统计学意义上的显著变化。生命体征超出正常范围通常会引发临床调查。我们提出了一种检测细微生命体征变化的新方法,这种方法可以帮助我们更早地诊断、治疗和康复感染,如 COVID-19。
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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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