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November 28, 2013Shock

Precordial Vibrations Provide Noninvasive Detection of Early-Stage Hemorrhage

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Key result

Seismocardiogram-derived systolic time intervals significantly correlated with stages of simulated hemorrhage (r = 0.9 and 0.88, P < 0.05), outperforming pulse pressure and heart rate.

Why the study?

Do seismocardiogram-derived systolic time intervals improve the detection of early-stage hemorrhage compared to standard vital signs in subjects undergoing simulated hemorrhage?

Population

32 subjects undergoing graded lower-body negative pressure to simulate a hemodynamic response similar to…

Comparison

Seismocardiogram to derive systolic time intervals vs Pulse pressure, heart rate, and amplitude…

Design

Other

Authors

KTKouhyar TavakolianUniversity of North DakotaGDGuy A. DumontUniversity of British Columbia HospitalGHGeoffrey HoultonHeart Foundation

Discussion

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Implication

May support portable early hemorrhage monitoring; leaves open prospective validation beyond simulation.

Study Design

Type

Observational (n=32)

Structured PICO

Do seismocardiogram-derived systolic time intervals improve the detection of early-stage hemorrhage compared to standard vital signs in subjects undergoing simulated hemorrhage?

P
Population
32 subjects undergoing graded lower-body negative pressure to simulate early-stage hemorrhage.
E
Exposure
Seismocardiogram (SCG) to derive systolic time intervals (pre-ejection period and left ventricular ejection time)
C
Comparator
Pulse pressure, heart rate, and amplitude features extracted from SCG
O
Outcome
Sensitivity in detection of early-stage hemorrhage (correlation with stages of lower-body negative pressure)surrogate

Main Result

Effect estimate: r = 0.9 and 0.88

p-value: p=<0.05

Seismocardiogram-derived systolic time intervals offer a sensitive, noninvasive, and potentially portable method for detecting early-stage hemorrhage.

Cite This Study

Tavakolian et al. (2013) conducted an observational in Early-stage hemorrhage (simulated) (n=32). Seismocardiogram (SCG) derived systolic time intervals vs. Pulse pressure, heart rate, and SCG amplitude features was evaluated on Correlation with different stages of lower-body negative pressure (r = 0.9 and 0.88, p=<0.05). Seismocardiogram-derived systolic time intervals significantly correlated with stages of simulated hemorrhage (r = 0.9 and 0.88, P < 0.05), outperforming pulse pressure and heart rate.

synapsesocial.com/papers/6a8acd98eada60f85de3a3cfhttps://doi.org/10.1097/shk.0000000000000077
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