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Brynne A Sullivan, Christina McClure, Jamie Hicks, Douglas E Lake, J Randall Moorman, Karen D Fairchild
OBJECTIVES: To determine whether an early heart rate characteristics (HRC) index (HeRO score), measured in the first day and week after birth predicts death and morbidities compared with established illness severity scores. STUDY DESIGN: For all very low birth weight infants in a single neonatal intensive care unit from 2004-2014, the average first day HRC index was calculated within 24 hours of birth (aHRC-24h) and the average first week HRC index within 7 days of birth (aHRC-7d)...
July 2016: Journal of Pediatrics
Sarah A Coggins, Jörn-Hendrik Weitkamp, Lisa Grunwald, Ann R Stark, Jeff Reese, William Walsh, James L Wynn
BACKGROUND: Bloodstream infection (BSI) among neonatal intensive care unit (NICU) infants is a frequent problem associated with poor outcomes. Monitoring for abnormal heart rate characteristics (HRCs) may decrease infant mortality by alerting clinicians to sepsis before it becomes clinically apparent. METHODS: HRC scores were acquired using the HRC (HeRO) monitor system from Medical Predictive Science Corporation and entered into the electronic medical record by bedside staff...
July 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
Karen D Fairchild
PURPOSE OF REVIEW: Predictive monitoring is an exciting new field involving analysis of physiologic data to detect abnormal patterns associated with critical illness. The first example of predictive monitoring being taken from inception (proof of concept) to reality (demonstration of improved outcomes) is the use of heart rate characteristics (HRC) monitoring to detect sepsis in infants in the neonatal ICU. The commercially available 'HeRO' monitor analyzes electrocardiogram data from existing bedside monitors for decreased HR variability and transient decelerations associated with sepsis, and converts these changes into a score (the HRC index or HeRO score)...
April 2013: Current Opinion in Pediatrics
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