Cardiopulmonary monitoring at home: The CHIME monitor

Michael R. Neuman*, Herman Watson, Rebecca S. Mendenhall, John T. Zoldak, Juliann M. Di Fiore, Mark Peucker, Terry M. Baird, David H. Crowell, Toke T. Hoppenbrouwers, David Hufford, Carl E. Hunt, Michael J. Corwin, Larry R. Tinsley, Debra E. Weese-Mayer, Marvin A. Sackner

*Corresponding author for this work

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

A new physiologic monitor for use in the home has been developed and used for the Collaborative Home Infant Monitor Evaluation (CHIME). This monitor measures infant breathing by respiratory inductance plethysmography and transthoracic impedance; infant electrocardiogram, heart rate and R-R interval; haemoglobin O2 saturation of arterial blood at the periphery and sleep position. Monitor signals from a representative sample of 24 subjects from the CHIME database were of sufficient quality to be clinically interpreted 91.7% of the time for the respiratory inductance plethysmograph, 100% for the ECG, 99.7% for the heart rate and 87% for the 16 subjects of the 24 who used the pulse oximeter. The monitor detected breaths with a sensitivity of 96% and a specificity of 65% compared to human scorers. It detected all clinically significant bradycardias but identified an additional 737 events where a human scorer did not detect bradycardia. The monitor was considered to be superior to conventional monitors and, therefore, suitable for the successful conduct of the CHIME study.

Original languageEnglish (US)
Pages (from-to)267-286
Number of pages20
JournalPhysiological Measurement
Volume22
Issue number2
DOIs
StatePublished - May 1 2001

Keywords

  • Collaborative Home Infant Monitoring Evaluation (CHIME)
  • Inductance plethysmograph
  • Infant apnoea monitoring
  • Patient monitoring at home

ASJC Scopus subject areas

  • Biophysics
  • Physiology
  • Biomedical Engineering
  • Physiology (medical)

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  • Cite this

    Neuman, M. R., Watson, H., Mendenhall, R. S., Zoldak, J. T., Di Fiore, J. M., Peucker, M., Baird, T. M., Crowell, D. H., Hoppenbrouwers, T. T., Hufford, D., Hunt, C. E., Corwin, M. J., Tinsley, L. R., Weese-Mayer, D. E., & Sackner, M. A. (2001). Cardiopulmonary monitoring at home: The CHIME monitor. Physiological Measurement, 22(2), 267-286. https://doi.org/10.1088/0967-3334/22/2/301