From the standpoint of ensuring the safety of patients in hospitals, a system that keeps watch over sleeping patients is necessary. In an actual clinical site, depending on a patient's age and medical condition, accidents may occur due to sensors and wires attached to the bed. So there is the need now for technology that monitors patients in an unrestricted state and which is completely detached from sensors. In this paper, we propose a technique that monitors patients using difference video image processing that it was considered realizable at bedside. Detecting unusual movements of a patient is especially critical for this technique. Therefore this technique was focused on the movement amount about subject. As a verification experiment, substantial amount of movement of a healthy subject was calculated at outside the clinical site. From this experiment, it was confirmed the soundness of using difference images to determine substantial movement amount. Then next test was conducted in a clinical site on trial. To verify the possibility of clinical application, it was examined the relation between substantial amount of movement about sleeping patient and the sleep state. For this testing, using difference images we measured body movements of pediatric patient during his sleep stage. At the same time, polysomnogram (PSG) was measured to read sleep stage. We picked up the patient without obstructive sleep apnea syndrome (AHI<1). The results showed that a relationship could be seen between body movements as measured by difference images and the transition periods of sleep stages measured by PSG. From these results, it is considered that substantial movement amount we propose was proper value at clinical testing. Results suggest the possibility of clinical application for monitoring patients during their sleep. In addition to not restricting the patient, this technique has the benefit of not requiring sensors or wires attached to beds. The patient is thus completely free of contact with this system.
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