PMID- 27592538
OWN - NLM
STAT- MEDLINE
DCOM- 20170309
LR  - 20170817
IS  - 1399-6576 (Electronic)
IS  - 0001-5172 (Linking)
VI  - 60
IP  - 10
DP  - 2016 Nov
TI  - Respiratory rates measured by a standardised clinical approach, ward staff, and a 
      wireless device.
PG  - 1444-1452
LID - 10.1111/aas.12784 [doi]
AB  - BACKGROUND: Respiratory rate is among the first vital signs to change in 
      deteriorating patients. The aim was to investigate the agreement between 
      respiratory rate measurements by three different methods. METHODS: This 
      prospective observational study included acutely admitted adult patients in a 
      medical ward. Respiratory rate was measured by three methods: a standardised 
      approach over 60 s while patients lay still and refrained from talking, by ward 
      staff and by a wireless electronic patch (SensiumVitals). The Bland-Altman method 
      was used to compare measurements and three breaths per minute (BPM) was 
      considered a clinically relevant difference. RESULTS: We included 50 patients. 
      The mean difference between the standardised approach and the electronic 
      measurement was 0.3 (95% CI: -1.4 to 2.0) BPM; 95% limits of agreement were -11.5 
      (95% CI: -14.5 to -8.6) and 12.1 (95% CI: 9.2 to 15.1) BPM. Removal of three 
      outliers with huge differences lead to a mean difference of -0.1 (95% CI: -0.7 to 
      0.5) BPM and 95% limits of agreement of -4.2 (95% CI: -5.3 to -3.2) BPM and 4.0 
      (95% CI: 2.9 to 5.0) BPM. The mean difference between staff and electronic 
      measurements was 1.7 (95% CI: -0.5 to 3.9) BPM; 95% limits of agreement were 
      -13.3 (95% CI: -17.2 to -9.5) BPM and 16.8 (95% CI: 13.0 to 20.6) BPM. 
      CONCLUSION: A concerning lack of agreement was found between a wireless 
      monitoring system and a standardised clinical approach. Ward staff's measurements 
      also seemed to be inaccurate.
CI  - (c) 2016 The Acta Anaesthesiologica Scandinavica Foundation. Published by John 
      Wiley & Sons Ltd.
FAU - Granholm, A
AU  - Granholm A
AD  - Copenhagen Academy for Medical Education and Simulation, Centre for Human 
      Resources, Capital Region of Denmark, Herlev, Denmark. andersgran@gmail.com.
FAU - Pedersen, N E
AU  - Pedersen NE
AD  - Copenhagen Academy for Medical Education and Simulation, Centre for Human 
      Resources, Capital Region of Denmark, Herlev, Denmark.
AD  - Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
FAU - Lippert, A
AU  - Lippert A
AD  - Copenhagen Academy for Medical Education and Simulation, Centre for Human 
      Resources, Capital Region of Denmark, Herlev, Denmark.
FAU - Petersen, L F
AU  - Petersen LF
AD  - Copenhagen Academy for Medical Education and Simulation, Centre for Human 
      Resources, Capital Region of Denmark, Herlev, Denmark.
FAU - Rasmussen, L S
AU  - Rasmussen LS
AD  - Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, 
      University of Copenhagen, Copenhagen, Denmark.
LA  - eng
PT  - Journal Article
DEP - 20160904
PL  - England
TA  - Acta Anaesthesiol Scand
JT  - Acta anaesthesiologica Scandinavica
JID - 0370270
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Electronics, Medical
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/*instrumentation
MH  - Prospective Studies
MH  - *Respiratory Rate
EDAT- 2016/09/07 06:00
MHDA- 2017/03/10 06:00
CRDT- 2016/09/06 06:00
PHST- 2016/06/29 00:00 [received]
PHST- 2016/08/11 00:00 [revised]
PHST- 2016/08/13 00:00 [accepted]
PHST- 2016/09/07 06:00 [pubmed]
PHST- 2017/03/10 06:00 [medline]
PHST- 2016/09/06 06:00 [entrez]
AID - 10.1111/aas.12784 [doi]
PST - ppublish
SO  - Acta Anaesthesiol Scand. 2016 Nov;60(10):1444-1452. doi: 10.1111/aas.12784. Epub 
      2016 Sep 4.