Heart Rate Characteristics in the NICU: What Nurses Need to Know

@article{Hicks2013HeartRC,
  title={Heart Rate Characteristics in the NICU: What Nurses Need to Know},
  author={Jamie H. Hicks and Karen D. Fairchild},
  journal={Advances in Neonatal Care},
  year={2013},
  volume={13},
  pages={396–401}
}
Late-onset sepsis continues to be a significant cause of morbidity and mortality in very low-birth-weight infants. Earlier detection of infection with heart rate variability monitoring through the use of the HeRO monitor has been shown to reduce mortality rate by 22%. This article reviews how HeRO is used to assist in earlier diagnosis and treatment of infection. 
Arrhythmias and Cardiac Bedside Monitoring in the Neonatal Intensive Care Unit.
Predicting Infection in Very Preterm Infants: A Study Protocol.
TLDR
Study results will inform the design of an interventional study using temperatures and/or heart rate as a predictive tool to alert clinicians of cardiac and autonomic instability present with infection.
Correlation Between Heart Rate Characteristic Index Score and Severity of Brain Injury in Neonates With Hypoxic-Ischemic Encephalopathy
Background: Hypoxic-ischemic encephalopathy (HIE) remains devastating for neonates despite widespread treatment with therapeutic hypothermia (TH). The heart rate characteristic (HRC) index score, a
AIM in Neonatal and Paediatric Intensive Care

References

SHOWING 1-10 OF 26 REFERENCES
Heart rate characteristics monitoring for neonatal sepsis
TLDR
The experience in developing continuous HR characteristics monitoring to aid in the early diagnosis of sepsis in premature infants in the neonatal intensive care unit is reviewed.
Predictive monitoring for early detection of sepsis in neonatal ICU patients
TLDR
Harnessing and analyzing the vast amounts of physiologic data constantly displayed in ICU patients will lead to improved algorithms for early detection, prognosis, and therapy of critical illnesses.
Heart Rate Characteristics: Novel Physiomarkers to Predict Neonatal Infection and Death
TLDR
HRC are noninvasively monitored physiomarkers that identify infants in the NICU who are at high risk for sepsis, UTI, and death and an HRC index is calculated from validated regression models relating mathematical features of heart rate time series and histograms to episodes of illness.
HeRO monitoring to reduce mortality in NICU patients
TLDR
The purpose of this review is to provide clinicians with a background on the physiology of heart rate regulation in health and disease, to describe how HeRO monitoring was developed, and to review results of the randomized clinical trial.
Heart Rate Characteristics and Laboratory Tests in Neonatal Sepsis
TLDR
It is found that the clinical diagnosis of neonatal sepsis is preceded by abnormal heart rate characteristics (HRC) of reduced variability and transient decelerations, and a predictive HRC monitoring strategy based on multivariable logistic regression analysis that was developed at one tertiary care NICU and validated at another.
Toward quantitative fetal heart rate monitoring
TLDR
New quantitative measures are developed and analyzed cardiotocograph records from 148 consecutive patients, 44 of whom had at least one "nonreassuring" epoch, and measures of deceleration and variability were significantly associated with the obstetrician's diagnosis.
Abnormal Heart Rate Characteristics Preceding Neonatal Sepsis and Sepsis-Like Illness
TLDR
Continuous HRC monitoring is a generally valid and potentially useful noninvasive tool in the early diagnosis of neonatal sepsis and sepsi-like illness.
Late-onset sepsis in very low birth weight neonates: the experience of the NICHD Neonatal Research Network.
TLDR
Infants who developed late-onset sepsis had a significantly prolonged hospital stay and were significantly more likely to die than those who were uninfected, especially if they were infected with Gram-negative organisms or fungi.
Sample Asymmetry Analysis of Heart Rate Characteristics with Application to Neonatal Sepsis and Systemic Inflammatory Response Syndrome
TLDR
It is concluded that SAA is a useful new mathematical technique for detecting the abnormal heart rate characteristics that precede neonatal sepsis and SIRS.
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