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Non-invasive assessment of haemodynamic parameters in an Emergency Department
- Student Research Circle “NEFRON” at the Department of Nephrology Nursing, Medical University of Warsaw, Warsaw
- Department of Nephrology Nursing, Medical University of Warsaw, Poland
open access
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.
Keywords
Emergency Department, cardiac output, thoracic fluid content, non-invasive monitoring
Title
Non-invasive assessment of haemodynamic parameters in an Emergency Department
Journal
Disaster and Emergency Medicine Journal
Issue
Article type
Research paper
Pages
142-149
Published online
2020-05-21
Page views
567
Article views/downloads
911
DOI
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
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