Early Clinical Prognosis for High-Risk Chest Pain Patients Using Smart Textiles

Abstract

According to statistics, up to 40% of emergency admissions are due to chest tightness or chest pain. However, merely based on the patient’s current symptoms such as chest pain, it is difficult for a physician to give an instant diagnosis as most cardiovascular diseases are chronic. To address this issue, it is necessary to provide a set of tools to indicate the patient’s status during hospitalization to help the physician in diagnosis. It is thus our primary objective to design and develop a wearable heart rate monitoring system and prediction tool that can measure the patient’s heart rate parameters, allow him/her to move around easily, and which also can effectively improve the medical personnel’s working efficiency. This research utilizes conductive filament to design textile to integrate electric circuit with clothing. Using a conductive vest and chest belt that can be worn comfortably, our system can continuously record patients’ physiological index parameters during their hospitalization. Physiological index parameters of multiple patients can then be transmitted wirelessly and recorded in a physician-end computer. At the end of their hospitalization, the patient’s original physiological indices together with the recorded heart rate variability (HRV) parameters can then be summarized to assess the risk score of their discharging from hospital. This paper adopts the concept of TIMI risk score, while adding every index of HRV measured when subjects are hospitalized. The risk score can hence be used to provide emergency physicians as a basis for an early prognosis and subsequently a better hospital-discharging assessment of patients with chest pain. The accuracy of the proposed prognosis has been verified with the 3-day and 30-day recall rate of the patients and the result has been shown to be promising for chest pain patients in emergency admission units.

Smart Shirts for Monitoring Physiological Parameters: Scoping Review

“…Table 4 presents all the different sensors identified across all prototype design studies. [32,57,60,[67][68][69]78,80,88,105,118] 8 (16) Respiratory only [31,42,47,51,79,87,104] 2 (4) Electromyography only [38,103] 27 (54) Numerous signals [3,22,[24][25][26]33,34,36,37,39,40,44,50,58,59,77,80,86,99,102,113,114,120]…”

Patient acceptability of wearable vital sign monitoring technologies in the acute care setting: A systematic review

“…Studies were published between 2009 and 2018. Two studies were conducted in the United States of America (Michaels et al, 2009;Pollack, 2009), three in the United Kingdom (UK) (Downey et al, 2018;Harper et al, 2010;Jeffs et al, 2016), one in Austria (Hubner et al, 2015), and one in Taiwan (Hsiao, Lee, Tien, Feng, & Huang, 2015). One study was conducted at multiple sites within a single UK Trust (Jeffs et al, 2016); the remaining six were single-site studies (Downey et al, 2018;Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Michaels et al, 2009;Pollack, 2009).…”

“…Two studies were conducted in the United States of America (Michaels et al, 2009;Pollack, 2009), three in the United Kingdom (UK) (Downey et al, 2018;Harper et al, 2010;Jeffs et al, 2016), one in Austria (Hubner et al, 2015), and one in Taiwan (Hsiao, Lee, Tien, Feng, & Huang, 2015). One study was conducted at multiple sites within a single UK Trust (Jeffs et al, 2016); the remaining six were single-site studies (Downey et al, 2018;Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Michaels et al, 2009;Pollack, 2009). Six quantitative studies (Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Jeffs et al, 2016;Michaels et al, 2009;Pollack, 2009) and one qualitative study (Downey et al, 2018) met the inclusion criteria.…”

“…One study was conducted at multiple sites within a single UK Trust (Jeffs et al, 2016); the remaining six were single-site studies (Downey et al, 2018;Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Michaels et al, 2009;Pollack, 2009). Six quantitative studies (Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Jeffs et al, 2016;Michaels et al, 2009;Pollack, 2009) and one qualitative study (Downey et al, 2018) met the inclusion criteria. All studies were observational in nature, specifically executed as feasibility, pilot or evaluative research (Downey et al, 2018;Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Jeffs et al, 2016;Michaels et al, 2009;Pollack, 2009).…”

“…Six quantitative studies (Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Jeffs et al, 2016;Michaels et al, 2009;Pollack, 2009) and one qualitative study (Downey et al, 2018) met the inclusion criteria. All studies were observational in nature, specifically executed as feasibility, pilot or evaluative research (Downey et al, 2018;Harper et al, 2010;Hsiao et al, 2015;Hubner et al, 2015;Jeffs et al, 2016;Michaels et al, 2009;Pollack, 2009).…”