Flexible Textile-Based Pressure Sensing System Applied in the Operating Room for Pressure Injury Monitoring of Cardiac Operation Patients

• Published in: Sensors (Basel, Switzerland) Vol. 20; no. 16; p. 4619
• Main Authors: Shih, De-Fen, Wang, Jyh-Liang, Chao, Sou-Chih, Chen, Yin-Fa, Liu, Kuo-Sheng, Chiang, Yi-Shan, Wang, Chi, Chang, Min-Yu, Yeh, Shu-Ling, Chu, Pao-Hsien, Lai, Chao-Sung, Shye, Der-Chi, Ho, Lun-Hui, Yang, Chia-Ming
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 17.08.2020; MDPI
• Subjects: Aged; Beds; cardiac operation; Efficiency; Electrodes; Female; flexible pressure sensor; Human body; Humans; Injuries; interfacial pressure; Kalman filter; Male; Monitoring, Physiologic; Noise; Operating Rooms; Patients; Polyethylene terephthalate; Pressure distribution; pressure injury; Pressure Ulcer - prevention & control; Pressure ulcers; Sensors; Skin; Textiles; Thoracic Surgery; pressure injury; interfacial pressure; flexible pressure sensor; Kalman filter; cardiac operation
• ISSN: 1424-8220; 1424-8220
• DOI: 10.3390/s20164619

Pressure injury is the most important issue facing paralysis patients and the elderly, especially in long-term care or nursing. A new interfacial pressure sensing system combined with a flexible textile-based pressure sensor array and a real-time readout system improved by the Kalman filter is proposed to monitor interfacial pressure progress in the cardiac operation. With the design of the Kalman filter and parameter optimization, noise immunity can be improved by approximately 72%. Additionally, cardiac operation patients were selected to test this developed system for the direct correlation between pressure injury and interfacial pressure for the first time. The pressure progress of the operation time was recorded and presented with the visible data by time- and 2-dimension-dependent characteristics. In the data for 47 cardiac operation patients, an extreme body mass index (BMI) and significantly increased pressure after 2 h are the top 2 factors associated with the occurrence of pressure injury. This methodology can be used to prevent high interfacial pressure in high-risk patients before and during operation. It can be suggested that this system, integrated with air mattresses, can improve the quality of care and reduce the burden of the workforce and medical cost, especially for pressure injury.