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Heart‐rate agreement between ECG and a new, wireless device during early skin‐to‐skin contact
Author(s) -
Lavizzari Anna,
Falgari Roberta,
Pesenti Nicola,
Colnaghi Mariarosa,
Colombo Lorenzo,
Zanotta Lidia,
Sannino Patrizio,
Plevani Laura,
Mosca Fabio
Publication year - 2021
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15769
Subject(s) - medicine , heart rate , apgar score , neonatal resuscitation , gestation , cardiology , rank correlation , pediatrics , gestational age , resuscitation , anesthesia , pregnancy , statistics , blood pressure , mathematics , biology , genetics
Aim To assess the agreement of heart rate (HR) between the new device – a fabric jacket for neonates, with integrated sensors detecting ECG signals and a Bluetooth connection to a computer (ComfTech, HOWDY) – and the clinical reference, ECG, during the skin‐to‐skin contact (SSC) in the first 2 h after birth, for the potential use of early detection of Sudden and Unexpected Postnatal Collapse (SUPC). Methods We enrolled newborns ≥35 +0 weeks of gestation, with Apgar score >8 at 5 min in a prospective, observational study in the delivery room, excluding infants with need for resuscitation, clinical instability or major malformations. We assessed HR within 20 min after birth by both devices simultaneously: the index test ComfTech HOWDY and the standard ECG (Vita Guard VG 3100, Getemed). We compared HR between the two methods at 0, 15, 30, 45, 60, 90 and 120 min by the Bland–Altman plot. Results We included 60 infants. The mean difference between the methods was −1.3 bpm, 95%LoA −12.4 to 9.7 bpm. Spearman rank correlation coefficient ρ = −0.06. Conclusion ComfTech HOWDY presents reliable agreement with the ECG and might assist in identifying infants at risk for SUPC.