{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:04:58Z","timestamp":1777431898582,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T00:00:00Z","timestamp":1697673600000},"content-version":"vor","delay-in-days":291,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Developing continuous and labor\u2010saving sedation\/agitation monitoring methods in ventilated children is important to avoid undesirable events such as unplanned extubation. The existing scales are often challenging to use. We therefore aimed to evaluate the feasibility of sedation\/agitation monitoring using a wearable device with a built\u2010in accelerometer for ventilated children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective observational pilot study included children aged 15\u2009years or less, admitted to the pediatric intensive care unit on mechanical ventilation after cardiac catheterization between December 2021 and April 2022. The wearable device with a built\u2010in accelerometer was attached to either of the upper limbs, and accelerations due to upper limb movements were measured for 2\u2009h after admission or until extubation, whichever was earliest. Accelerations were measured at 0.02 s intervals, with the mean acceleration calculated for each 1 min interval. The State Behavioral Scale (SBS) was completed at 1 min intervals, with the SBS score (\u22121, 0, 1, or 2) compared with the mean acceleration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 20 children with a median age of 12\u2009months. The mean accelerations and SBS scores were positively correlated (Kendall's <jats:italic>\u03c4<\/jats:italic>, 0.22; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), with an increase in the median (interquartile range) acceleration from an SBS score of \u22121 through 2, as follows: SBS \u22121, 0.200 (0.151\u20130.232)\u2009m\/s<jats:sup>2<\/jats:sup>; SBS 0, 0.202 (0.190\u20130.235)\u2009m\/s<jats:sup>2<\/jats:sup>; SBS, 1, 0.312 (0.236\u20130.427)\u2009m\/s<jats:sup>2<\/jats:sup>; SBS 2, 0.455 (0.332\u20130.517)\u2009m\/s<jats:sup>2<\/jats:sup>. No adverse events were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study showed that continuous, labor\u2010saving sedation\/agitation monitoring of ventilated children was feasible using a wearable device with a built\u2010in accelerometer.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.15660","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T06:42:11Z","timestamp":1697784131000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sedation\/agitation monitoring using a wearable device for ventilated children"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6076-5369","authenticated-orcid":false,"given":"Kanako","family":"Isaka","sequence":"first","affiliation":[{"name":"Department of Intensive Care Medicine Osaka Women's and Children's Hospital  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8614-298X","authenticated-orcid":false,"given":"Takeshi","family":"Hatachi","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Osaka Women's and Children's Hospital  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanako","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Osaka Women's and Children's Hospital  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiyuki","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Osaka Women's and Children's Hospital  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9117-3596","authenticated-orcid":false,"given":"Muneyuki","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Osaka Women's and Children's Hospital  Izumi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199912000-00001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc7885"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31827ca949"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60105-1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1806-37562017000000185"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-016-4344-1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.14139"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201801-004OC"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002777"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/07420528.2021.1987451"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.01002.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2014.05.014"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1441-2772(23)00392-7"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)82544-2"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000200955.40962.38"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.15660","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T05:59:43Z","timestamp":1708149583000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.15660"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/ped.15660"],"URL":"https:\/\/doi.org\/10.1111\/ped.15660","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2023-04-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e15660"}}