Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability

Abstract Intellectual disability (ID) affects approximately 1% of the population. Some patients with severe or profound ID are essentially non-communicating and therefore risk experiencing pain and distress without being able to notify their caregivers, which is a major health issue. This real-world...

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Autores principales:	Emilie Kildal, Kristine Stadskleiv, Elin S. Boysen, Tone Øderud, Inger-Lise Dahl, Trine M. Seeberg, Svein Guldal, Frode Strisland, Cecilie Morland, Bjørnar Hassel
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/887dc6aaf51c4992bf4fe5484ee6c332
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spelling	oai:doaj.org-article:887dc6aaf51c4992bf4fe5484ee6c3322021-12-02T16:30:18ZIncreased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability10.1038/s41598-021-86023-62045-2322https://doaj.org/article/887dc6aaf51c4992bf4fe5484ee6c3322021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86023-6https://doaj.org/toc/2045-2322Abstract Intellectual disability (ID) affects approximately 1% of the population. Some patients with severe or profound ID are essentially non-communicating and therefore risk experiencing pain and distress without being able to notify their caregivers, which is a major health issue. This real-world proof of concept study aimed to see if heart rate (HR) monitoring could reveal whether non-communicating persons with ID experience acute pain or distress in their daily lives. We monitored HR in 14 non-communicating participants with ID in their daily environment to see if specific situations were associated with increased HR. We defined increased HR as being > 1 standard deviation above the daily mean and lasting > 5 s. In 11 out of 14 participants, increased HR indicated pain or distress in situations that were not previously suspected to be stressful, e.g. passive stretching of spastic limbs or being transported in patient lifts. Increased HR suggesting joy was detected in three participants (during car rides, movies). In some situations that were previously suspected to be stressful, absence of HR increase suggested absence of pain or distress. We conclude that HR monitoring may identify acute pain and distress in non-communicating persons with ID, allowing for improved health care for this patient group.Emilie KildalKristine StadskleivElin S. BoysenTone ØderudInger-Lise DahlTrine M. SeebergSvein GuldalFrode StrislandCecilie MorlandBjørnar HasselNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Emilie Kildal Kristine Stadskleiv Elin S. Boysen Tone Øderud Inger-Lise Dahl Trine M. Seeberg Svein Guldal Frode Strisland Cecilie Morland Bjørnar Hassel Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability
description	Abstract Intellectual disability (ID) affects approximately 1% of the population. Some patients with severe or profound ID are essentially non-communicating and therefore risk experiencing pain and distress without being able to notify their caregivers, which is a major health issue. This real-world proof of concept study aimed to see if heart rate (HR) monitoring could reveal whether non-communicating persons with ID experience acute pain or distress in their daily lives. We monitored HR in 14 non-communicating participants with ID in their daily environment to see if specific situations were associated with increased HR. We defined increased HR as being > 1 standard deviation above the daily mean and lasting > 5 s. In 11 out of 14 participants, increased HR indicated pain or distress in situations that were not previously suspected to be stressful, e.g. passive stretching of spastic limbs or being transported in patient lifts. Increased HR suggesting joy was detected in three participants (during car rides, movies). In some situations that were previously suspected to be stressful, absence of HR increase suggested absence of pain or distress. We conclude that HR monitoring may identify acute pain and distress in non-communicating persons with ID, allowing for improved health care for this patient group.
format	article
author	Emilie Kildal Kristine Stadskleiv Elin S. Boysen Tone Øderud Inger-Lise Dahl Trine M. Seeberg Svein Guldal Frode Strisland Cecilie Morland Bjørnar Hassel
author_facet	Emilie Kildal Kristine Stadskleiv Elin S. Boysen Tone Øderud Inger-Lise Dahl Trine M. Seeberg Svein Guldal Frode Strisland Cecilie Morland Bjørnar Hassel
author_sort	Emilie Kildal
title	Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability
title_short	Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability
title_full	Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability
title_fullStr	Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability
title_full_unstemmed	Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability
title_sort	increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/887dc6aaf51c4992bf4fe5484ee6c332
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Increased heart rate functions as a signal of acute distress in non-communicating persons with intellectual disability

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