open access

Vol 5, No 3 (2020)
Research paper
Published online: 2020-05-21
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Non-invasive assessment of haemodynamic parameters in an Emergency Department

Dominika Capiga, Lukasz Czyzewski
DOI: 10.5603/DEMJ.a2020.0019
·
Disaster Emerg Med J 2020;5(3):142-149.

open access

Vol 5, No 3 (2020)
ORIGINAL ARTICLES
Published online: 2020-05-21

Abstract

Introduction: Hospital Emergency Departments are places where fractions of a second decide about human life and every possibility of quickly and reliably obtaining additional information about the patient’s condition is extremely important. Therefore, an attempt was made to determine the usefulness of non-invasive assessment of haemodynamic parameters in patients in Emergency Departments.

Material and methods: The research was conducted in June and July 2019 in the Emergency Room of the Bielański Hospital, Jerzy Popiełuszko in Warsaw. Non-invasive measurement of haemodynamic parameters was performed with the ICON (Osypka Medical, GmbH) Heart Rate Monitor. The study was conducted among patients of the green part of the Emergency Department. P < 0.05 was adopted as the significance level.

Results: One-way non-parametric ANOVA confirmed the existence of statistically significant differences (all p for trend < 0.05) between BMI (p < 0.001), HR (p = 0.040), ICON (p = 0.048), and CO (p = 0.006) and for the four groups according to the reason for reporting to the Emergency Department (orthopaedic injuries, surgical intervention, internal medicine, other medical fields). One-way non parametric ANOVA confirmed the lack of statistically significant differences (all p for trend > 0.05) between age (p = 0.418), SV (p = 0.161), TFC (p = 0.142), and STR (p = 0.094) and for the four groups according to the reason for reporting to the Emergency Department. In simple linear regression analysis (Spearman), BMI was negatively correlated with CO, ICON, SV, and TFC (all p for trend < 0.05). Age was negatively correlated with CO, ICON, and SV.

Conclusions: Due to the diversity of patients and their conditions, non-invasive assessment of haemodynamic parameters can become an invaluable help during the diagnosis and subsequent treatment of Emergency Department patients.

Abstract

Introduction: Hospital Emergency Departments are places where fractions of a second decide about human life and every possibility of quickly and reliably obtaining additional information about the patient’s condition is extremely important. Therefore, an attempt was made to determine the usefulness of non-invasive assessment of haemodynamic parameters in patients in Emergency Departments.

Material and methods: The research was conducted in June and July 2019 in the Emergency Room of the Bielański Hospital, Jerzy Popiełuszko in Warsaw. Non-invasive measurement of haemodynamic parameters was performed with the ICON (Osypka Medical, GmbH) Heart Rate Monitor. The study was conducted among patients of the green part of the Emergency Department. P < 0.05 was adopted as the significance level.

Results: One-way non-parametric ANOVA confirmed the existence of statistically significant differences (all p for trend < 0.05) between BMI (p < 0.001), HR (p = 0.040), ICON (p = 0.048), and CO (p = 0.006) and for the four groups according to the reason for reporting to the Emergency Department (orthopaedic injuries, surgical intervention, internal medicine, other medical fields). One-way non parametric ANOVA confirmed the lack of statistically significant differences (all p for trend > 0.05) between age (p = 0.418), SV (p = 0.161), TFC (p = 0.142), and STR (p = 0.094) and for the four groups according to the reason for reporting to the Emergency Department. In simple linear regression analysis (Spearman), BMI was negatively correlated with CO, ICON, SV, and TFC (all p for trend < 0.05). Age was negatively correlated with CO, ICON, and SV.

Conclusions: Due to the diversity of patients and their conditions, non-invasive assessment of haemodynamic parameters can become an invaluable help during the diagnosis and subsequent treatment of Emergency Department patients.

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Keywords

Emergency Department, cardiac output, thoracic fluid content, non-invasive monitoring

About this article
Title

Non-invasive assessment of haemodynamic parameters in an Emergency Department

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 5, No 3 (2020)

Article type

Research paper

Pages

142-149

Published online

2020-05-21

DOI

10.5603/DEMJ.a2020.0019

Bibliographic record

Disaster Emerg Med J 2020;5(3):142-149.

Keywords

Emergency Department
cardiac output
thoracic fluid content
non-invasive monitoring

Authors

Dominika Capiga
Lukasz Czyzewski

References (9)
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