Non-invasive assessment of haemodynamic parameters in an Emergency Department
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 Departmentcardiac outputthoracic fluid contentnon-invasive monitoring
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