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

doi:10.1088/0967-3334/22/2/301

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

Pediatrics

Research output: Contribution to journal › Article › peer-review

34 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 language	English (US)
Pages (from-to)	267-286
Number of pages	20
Journal	Physiological Measurement
Volume	22
Issue number	2
DOIs	https://doi.org/10.1088/0967-3334/22/2/301
State	Published - May 2001

Keywords

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

ASJC Scopus subject areas

Physiology (medical)
Biophysics
Physiology
Biomedical Engineering

Access to Document

10.1088/0967-3334/22/2/301

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

@article{e1ddeada13ce41799a60072a065c026d,

title = "Cardiopulmonary monitoring at home: The CHIME monitor",

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.",

keywords = "Collaborative Home Infant Monitoring Evaluation (CHIME), Inductance plethysmograph, Infant apnoea monitoring, Patient monitoring at home",

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

year = "2001",

month = may,

doi = "10.1088/0967-3334/22/2/301",

language = "English (US)",

volume = "22",

pages = "267--286",

journal = "Physiological Measurement",

issn = "0967-3334",

publisher = "IOP Publishing Ltd.",

number = "2",

}

TY - JOUR

T1 - Cardiopulmonary monitoring at home

T2 - The CHIME monitor

AU - Neuman, Michael R.

AU - Watson, Herman

AU - Mendenhall, Rebecca S.

AU - Zoldak, John T.

AU - Di Fiore, Juliann M.

AU - Peucker, Mark

AU - Baird, Terry M.

AU - Crowell, David H.

AU - Hoppenbrouwers, Toke T.

AU - Hufford, David

AU - Hunt, Carl E.

AU - Corwin, Michael J.

AU - Tinsley, Larry R.

AU - Weese-Mayer, Debra E.

AU - Sackner, Marvin A.

PY - 2001/5

Y1 - 2001/5

N2 - 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.

AB - 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.

KW - Collaborative Home Infant Monitoring Evaluation (CHIME)

KW - Inductance plethysmograph

KW - Infant apnoea monitoring

KW - Patient monitoring at home

UR - http://www.scopus.com/inward/record.url?scp=0034997184&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034997184&partnerID=8YFLogxK

U2 - 10.1088/0967-3334/22/2/301

DO - 10.1088/0967-3334/22/2/301

M3 - Article

C2 - 11411239

AN - SCOPUS:0034997184

SN - 0967-3334

VL - 22

SP - 267

EP - 286

JO - Physiological Measurement

JF - Physiological Measurement

IS - 2

ER -

Cardiopulmonary monitoring at home: The CHIME monitor

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this