Monitoring system for producing patient status indicator

• US 5,355,889 A
• Filed: 06/09/1992
• Issued: 10/18/1994
• Est. Priority Date: 06/09/1992
• Status: Expired due to Fees

• Current Assignee: Albert Eisenstein Health Care Foundation, Drexel University
• Original Assignee: Albert Eisenstein Health Care Foundation
• Inventors: Guez, Allon, Nevo, Igal
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US07/895,669
• Time in Patent Office: 861 Days
• Field of Search: 128/668, 128/670-672, 128/664-667, 128/687, 128/706, 128/736, 128/731-732, 128/716, 128/721, 364/413.02, 364/415
• US Class Current: 600/484
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades

Abstract

Patient monitoring methods comprising the steps of measuring a plurality of medical parameters, transforming each medical parameter to a function indicative of at least normal and critical levels of the parameter, comparing each function to a prescribed sequence of reference values and on the basis of the comparison generating for each parameter a corresponding danger level, selecting one of the danger levels as a vital function status (VFS) indicator, and displaying the VFS indicator. Each parameter is transformed to a sigmoid function in accordance with pre-selected maximum and minimum values and a pre-selected baseline value adapted to the patient being monitored. A maximum value of the danger levels is selected as the VFS indicator. The VFS indicator will be such that any physician can have, without any previous knowledge of the patient, a reasonably good idea as to the condition of the patient.

Claims

1. A patient monitoring method, comprising the steps of:

(a) measuring a plurality of medical parameters;

(b) transforming each medical parameter to a sigmoid function indicative of at least normal and critical levels of the parameter;

(c) comparing each of said functions to a prescribed sequence of reference values and on the basis of the comparison generating for each parameter a corresponding danger level;

(d) selecting one of said danger levels as a vital function status (VFS) indicator; and

(e) displaying said VFS indicator.

2. The method of claim 1, wherein each parameter is transformed to a sigmoid function in accordance with pre-selected maximum and minimum values and a pre-selected baseline value adapted to the patient being monitored.

3. The method of claim 2, wherein a maximum value of said danger levels is selected as said VFS indicator.

4. The method of claim 2, comprising the step of simultaneously displaying a history of said VFS indicator over a predefined short time span and over a predefined long time span.

5. The method of claim 1, wherein a maximum value of said danger levels is selected as said VFS indicator.

6. The method of claim 1, comprising the step of simultaneously displaying a history of said VFS indicator over a predefined short time span and over a predefined long time span.

7. A patient monitoring method as recited in claim 1, wherein said transforming employs an equation from the following group:

##EQU7## wherein x represents the measured value of the medical parameter;

BL represents the baseline value for the medical parameter;

x_max represents a predefined maximum value of the medical parameter;

a, b, and w represent predefined numbers; and

y represents the value of the function, and Y_m represents a predefined maximum value of the function.

8. A patient monitoring system, comprising:

(a) a plurality of medical monitors operative to measure a plurality of medical parameters of a patient, each said medical parameter having a predefined baseline or homeostatic value;

(b) means for transforming each medical parameter to a function indicative of at least normal and critical levels of the parameter;

(c) means for comparing each of said functions to a prescribed sequence of reference values and on the basis of the comparison generating for each parameter a corresponding danger level;

(d) means for selecting one of said danger levels as a vital function status (VFS) indicator; and

(e) means for displaying said VFS indicator;

wherein said means for transforming employs a member of the following group;

a sigmoid function. ##EQU8## wherein x represents the measured value of the medical parameter;

BL represents the baseline value for the medical parameter;

x_max represents a predefined maximum value of the medical parameter;

a, b, and w represent predefined numbers; and

y represents the value of the function, and y_m represents a predefined maximum value of the function.

9. The system of claim 8, comprising means for transforming each parameter to a sigmoid function in accordance with pre-selected maximum and minimum values and a pre-selected baseline value adapted to the patient being monitored.

10. The system of claim 9, comprising means for selecting a maximum value of said danger levels as said VFS indicator.

11. The system of claim 9, comprising means for simultaneously displaying a history of said VFS indicator over a predefined short time span and over a predefined long time span.

12. The system of claim 8, comprising means for selecting a maximum value of said danger levels as said VFS indicator.

13. The system of claim 8, comprising means for simultaneously displaying a history of said VFS indicator over a predefined short time span and over a predefined long time span.

14. A medical monitoring system, comprising:

(a) a plurality of medical monitors, each monitor including means for measuring a medical parameter indicative of a condition of a patient being monitored, each medical parameter having a baseline value;

(b) a computer operatively coupled to said medical monitors, said computer being programmed to determine for each medical parameter a corresponding danger level and to select one of said danger levels as a vital function status (VFS) indicator;

wherein, in determining said danger levels, each medical parameter is transformed to a function defined by pre-selected maximum and minimum parameter values and a pre-selected baseline value, said function exhibiting a maximum sensitivity for parameter values near said baseline; and

(c) means for simultaneously displaying a history of said VFS indicator over a predefined short time span and over a predefined long time span;

wherein said computer is programmed to transform said medical parameters by employing a member of the following group;

a sigmoid function. ##EQU9## wherein x represents the measured value of the medical parameter;

BL represents the baseline value for the medical parameter;

x_max represents a predefined maximum value of the medical parameter;

a, b, and w represent predefined numbers; and

y represents the value of the function, and y_m represents a predefined maximum value of the function.

15. The system of claim 14, wherein said computer is programmed to transform each medical parameter to a sigmoid function and to assign a danger level to each parameter by comparing the respective values of the sigmoid functions to a prescribed set of reference values and assigning said danger levels on the basis of the comparison.

16. The system of claim 15, wherein said danger levels are assigned in accordance with the following table:

space="preserve" listing-type="tabular">______________________________________ Transformed Values Danger Level ______________________________________ 0.42-0.5, 0.5-0.58 0 0.34-0.42, 0.58-0.66 1 0.26-0.34, 0.66-0.74 2 0.18-0.26, 0.74-0.82 3 0.1-0.18, 0.82-0.9 4 0-.1, .9-1.0 5 ______________________________________

17. A patient monitoring method, comprising the steps of:

(a) measuring a plurality of medical parameters of a patient;

(b) transforming each medical parameter to a function indicative of at least normal and critical levels of the parameter, wherein said functions have common maximum and minimum values, wherein each said function is defined by a pre-selected baseline value adapted to said patient, and wherein each said function exhibits a maximum sensitivity or slope for parameter values near said baseline;

(c) comparing each of said functions to a prescribed sequence of reference values and on the basis of the comparison generating for each parameter a corresponding danger level;

(d) selecting one of said danger levels as a vital function status (VFS) indicator; and

(e) displaying said VFS indicator;

wherein said transforming employs a member of the following group;

a sigmoid function ##EQU10## wherein x represents the measured value of the medical parameter;

BL represents the baseline value for the medical parameter;

x_max represents a predefined maximum value of the medical parameter;

a, b, and w represent predefined numbers; and

y represents the value of the function, and y_m represents a predefined maximum value of the function.