TY - JOUR
T1 - Accuracy of vital parameters measured by a wearable patch following major abdominal cancer surgery
AU - van der Stam, Jonna A.
AU - Mestrom, Eveline H. J.
AU - Scheerhoorn, Jai
AU - Jacobs, Fleur
AU - de Hingh, Ignace H. J. T.
AU - van Riel, Natal A. W.
AU - Boer, Arjen-Kars
AU - Scharnhorst, Volkher
AU - Nienhuijs, Simon W.
AU - Bouwman, R. Arthur
N1 - Funding Information: This study was initiated from the Eindhoven MedTech Innovation Center (e/MTIC), the project is a collaboration of the Catharina Hospital in Eindhoven, Technical University of Eindhoven, and Philips Research of the Netherlands. The authors wish to thank Philips research for their constructive and practical contributions. Publisher Copyright: © 2021 The Authors
PY - 2021
Y1 - 2021
N2 - Introduction: Recent advances in wearable technology allow for the development of wirelessly connected sensors to continuously measure vital parameters in the general ward or even at home. The present study assesses the accuracy of a wearable patch (Healthdot) for continuous monitoring of heartrate (HR) and respiration rate (RR). Materials and methods: The Healthdot measures HR and RR by means of chest accelerometry. The study population consisted of patients following major abdominal oncological surgery. The analysis focused on the agreement between HR and RR measured by the Healthdot and the gold standard patient monitor in the intensive and post-anesthesia care unit. Results: For HR, a total of 112 h of measurements was collected in 26 patients. For RR, a total of 102 h of measurements was collected in 21 patients. On second to second analysis, 97% of the HR and 87% of the RR measurements were within 5 bpm and 3 rpm of the reference monitor. Assessment of 5-min averaged data resulted in 96% of the HR and 95% of the RR measurements within 5 bpm and 3 rpm of the reference monitor. A Clarke error grid analysis showed that 100% of the HR and 99.4% of the 5-min averaged data was clinically acceptable. Conclusion: The Healthdot accurately measured HR and RR in a cohort of patients recovering from major abdominal surgery, provided that good quality data was obtained. These results push the Healthdot forward as a clinically acceptable tool in low acuity settings for unobtrusive, automatic, wireless and continuous monitoring.
AB - Introduction: Recent advances in wearable technology allow for the development of wirelessly connected sensors to continuously measure vital parameters in the general ward or even at home. The present study assesses the accuracy of a wearable patch (Healthdot) for continuous monitoring of heartrate (HR) and respiration rate (RR). Materials and methods: The Healthdot measures HR and RR by means of chest accelerometry. The study population consisted of patients following major abdominal oncological surgery. The analysis focused on the agreement between HR and RR measured by the Healthdot and the gold standard patient monitor in the intensive and post-anesthesia care unit. Results: For HR, a total of 112 h of measurements was collected in 26 patients. For RR, a total of 102 h of measurements was collected in 21 patients. On second to second analysis, 97% of the HR and 87% of the RR measurements were within 5 bpm and 3 rpm of the reference monitor. Assessment of 5-min averaged data resulted in 96% of the HR and 95% of the RR measurements within 5 bpm and 3 rpm of the reference monitor. A Clarke error grid analysis showed that 100% of the HR and 99.4% of the 5-min averaged data was clinically acceptable. Conclusion: The Healthdot accurately measured HR and RR in a cohort of patients recovering from major abdominal surgery, provided that good quality data was obtained. These results push the Healthdot forward as a clinically acceptable tool in low acuity settings for unobtrusive, automatic, wireless and continuous monitoring.
KW - Accelerometer
KW - Major-abdominal cancer surgery
KW - Physiologic monitoring
KW - Wearable electronic devices
UR - http://www.scopus.com/inward/record.url?scp=85118867260&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.ejso.2021.10.034
DO - https://doi.org/10.1016/j.ejso.2021.10.034
M3 - Article
C2 - 34753618
SN - 0748-7983
JO - European Journal of Surgical Oncology
JF - European Journal of Surgical Oncology
ER -