Biology Reference
In-Depth Information
sepsislike illness. The HRC index is a unitless number between 0 and
1 proportional to the risk of an acute clinical deterioration in the next
24 hours. The HRC index: (1) Showed highly significant association with
impending sepsis and sepsislike illness (p<0.001); and (2) added
significantly to the demographic information of BW, GA, and days of
postnatal age in predicting sepsis and sepsislike illness (p<0.001). The
conclusion from this clinical trial was that continuous HRC monitoring
is a generally valid and potentially useful noninvasive tool in the early
diagnosis of neonatal sepsis and sepsislike illness. Additional details
regarding the clinical trial and the exact definition of the HRC index can
be found in Griffin et al. (2003).
E XERCISE 6-10
For an RRI series with low SampEn, what additional tests could be used
to determine whether there is an increased proportion of decelerations
(of interest in predicting sepsis) or accelerations? Could you suggest two
such tests?
REFERENCES
Bone, R. C., Grodzin, C. J., & Balk, R. A. (1997). Sepsis: A new hypothesis for
pathogenesis of the disease process. Chest, 112, 235-243.
Burnard, E. D. (1959). Changes in heart size in the dyspnoeic newborn infant.
British Medical Journal, 1, 1495-1500.
Cabal, L. A., Siassi, B., Zanini, B., Hodgman, J. E., & Hon, E. E. (1980). Factors
affecting heart rate variability in preterm infants. Pediatrics, 65, 50-56.
Gerdes, J. S., & Polin, R. A. (1987). Sepsis screen in neonates with evaluation of
plasma fibronectin. The Pediatric Infectious Disease Journal, 6, 443-446.
Gray, J. E., Richardson, D. K., McCormick, M. C., & Goldmann, D. A. (1995).
Coagulase-negative staphylococcal bacteremia among very low birth weight
infants: Relation to admission illness severity, resource use, and outcome.
Pediatrics, 95, 225-230.
Griffin, M. P., & Moorman, J. R. (2001). Toward the early diagnosis of neonatal
sepsis and sepsis-like illness using novel heart rate analysis. Pediatrics, 107,
97-104.
Griffin, M. P., Scollan, D. F., & Moorman, J. R. (1994). The dynamic range of
neonatal heart rate variability. Journal of Cardiovascular Electrophysiology, 5,
112-124.
Griffin, M. P., O'Shea, T. M., Bissonette, E. A., Harrell, F. E., Jr, Lake, D. E., &
Moorman, J. R. (2003). Abnormal heart rate characteristics preceding neonatal
sepsis and sepsis-like illness. Pediatric Research, 53, 920-926.
Kellogg, J. A., Ferrentino, F. L., Goodstein, M. H., Liss, J., Shapiro, S. L., &
Bankert, D. A. (1997). Frequency of low level bacteremia in infants from birth
to two months of age. The Pediatric Infectious Disease Journal, 16, 381-385.
Kovatchev, B. P., Farhy, L. S., Hanging, C., Griffin, M. P., Lake, D. E., &
Moorman, J. R. (2003). Sample asymmetry analysis of heart rate characteristics
with application to neonatal sepsis and systemic inflammatory response
syndrome. Pediatric Research, 54, 892-898.
Kuster, H., Weiss, M., Willeitner, A. E., Detlefsen, S., Jeremias, I., Zbojan, J.,
Geiger, R., Lipowsky, G., & Simbruner, G. (1998). Interleukin-1 receptor
Search WWH ::




Custom Search