Reliability of heart rate and respiration rate measurements with a wireless accelerometer in postbariatric recovery
Recognition of early signs of deterioration in postoperative course could be improved by continuous monitoring of vital parameters. Wearable sensors could enable this by wireless transmission of vital signs. A novel accelerometer-based device, called Healthdot, has been designed to be worn on the sk...
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| Veröffentlicht in: | PloS one 2021-04, Vol.16 (4), p.e0247903-e0247903 |
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| description | Recognition of early signs of deterioration in postoperative course could be improved by continuous monitoring of vital parameters. Wearable sensors could enable this by wireless transmission of vital signs. A novel accelerometer-based device, called Healthdot, has been designed to be worn on the skin to measure the two key vital parameters respiration rate (RespR) and heart rate (HeartR). The goal of this study is to assess the reliability of heart rate and respiration rate measured by the Healthdot in comparison to the gold standard, the bedside patient monitor, during the postoperative period in bariatric patients. Data were collected in a consecutive group of 30 patients who agreed to wear the device after their primary bariatric procedure. Directly after surgery, a Healthdot was attached on the patients' left lower rib. Vital signs measured by the accelerometer based Healthdot were compared to vital signs collected with the gold standard patient monitor for the period that the patient stayed at the post-anesthesia care unit. Over all patients, a total of 22 hours of vital signs obtained by the Healthdot were recorded simultaneously with the bedside patient monitor data. 87.5% of the data met the pre-defined bias of 5 beats per minute for HeartR and 92.3% of the data met the pre-defined bias of 5 respirations per minute for RespR. The Healthdot can be used to accurately derive heart rate and respiration rate in postbariatric patients. Wireless continuous monitoring of key vital signs has the potential to contribute to earlier recognition of complications in postoperative patients. Future studies should focus on the ability to detect patient deterioration in low-care environments and at home after discharge from the hospital. |
| doi_str_mv | 10.1371/journal.pone.0247903 |
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Wearable sensors could enable this by wireless transmission of vital signs. A novel accelerometer-based device, called Healthdot, has been designed to be worn on the skin to measure the two key vital parameters respiration rate (RespR) and heart rate (HeartR). The goal of this study is to assess the reliability of heart rate and respiration rate measured by the Healthdot in comparison to the gold standard, the bedside patient monitor, during the postoperative period in bariatric patients. Data were collected in a consecutive group of 30 patients who agreed to wear the device after their primary bariatric procedure. Directly after surgery, a Healthdot was attached on the patients' left lower rib. Vital signs measured by the accelerometer based Healthdot were compared to vital signs collected with the gold standard patient monitor for the period that the patient stayed at the post-anesthesia care unit. Over all patients, a total of 22 hours of vital signs obtained by the Healthdot were recorded simultaneously with the bedside patient monitor data. 87.5% of the data met the pre-defined bias of 5 beats per minute for HeartR and 92.3% of the data met the pre-defined bias of 5 respirations per minute for RespR. The Healthdot can be used to accurately derive heart rate and respiration rate in postbariatric patients. Wireless continuous monitoring of key vital signs has the potential to contribute to earlier recognition of complications in postoperative patients. Future studies should focus on the ability to detect patient deterioration in low-care environments and at home after discharge from the hospital.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0247903</identifier><identifier>PMID: 33909642</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accelerometers ; Accuracy ; Anesthesia ; Anesthesiology ; Bias ; Biology and Life Sciences ; Biosensors ; Complications ; Engineering and Technology ; Gastrointestinal surgery ; Health aspects ; Heart beat ; Heart rate ; Medicine and Health Sciences ; Monitoring ; Obesity ; Parameters ; Patient monitoring equipment ; Patients ; Population ; Postoperative period ; Recognition ; Recovery (Medical) ; Reliability analysis ; Research and Analysis Methods ; Respiration ; Sample size ; Surgery ; Telemedicine ; Vital signs ; Wearable computers</subject><ispartof>PloS one, 2021-04, Vol.16 (4), p.e0247903-e0247903</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Jacobs et al. 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One</addtitle><date>2021-04-28</date><risdate>2021</risdate><volume>16</volume><issue>4</issue><spage>e0247903</spage><epage>e0247903</epage><pages>e0247903-e0247903</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Recognition of early signs of deterioration in postoperative course could be improved by continuous monitoring of vital parameters. Wearable sensors could enable this by wireless transmission of vital signs. A novel accelerometer-based device, called Healthdot, has been designed to be worn on the skin to measure the two key vital parameters respiration rate (RespR) and heart rate (HeartR). The goal of this study is to assess the reliability of heart rate and respiration rate measured by the Healthdot in comparison to the gold standard, the bedside patient monitor, during the postoperative period in bariatric patients. Data were collected in a consecutive group of 30 patients who agreed to wear the device after their primary bariatric procedure. Directly after surgery, a Healthdot was attached on the patients' left lower rib. Vital signs measured by the accelerometer based Healthdot were compared to vital signs collected with the gold standard patient monitor for the period that the patient stayed at the post-anesthesia care unit. Over all patients, a total of 22 hours of vital signs obtained by the Healthdot were recorded simultaneously with the bedside patient monitor data. 87.5% of the data met the pre-defined bias of 5 beats per minute for HeartR and 92.3% of the data met the pre-defined bias of 5 respirations per minute for RespR. The Healthdot can be used to accurately derive heart rate and respiration rate in postbariatric patients. Wireless continuous monitoring of key vital signs has the potential to contribute to earlier recognition of complications in postoperative patients. Future studies should focus on the ability to detect patient deterioration in low-care environments and at home after discharge from the hospital.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33909642</pmid><doi>10.1371/journal.pone.0247903</doi><tpages>e0247903</tpages><orcidid>https://orcid.org/0000-0002-2051-5947</orcidid><orcidid>https://orcid.org/0000-0002-5859-1494</orcidid><orcidid>https://orcid.org/0000-0002-2812-1627</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Accelerometers Accuracy Anesthesia Anesthesiology Bias Biology and Life Sciences Biosensors Complications Engineering and Technology Gastrointestinal surgery Health aspects Heart beat Heart rate Medicine and Health Sciences Monitoring Obesity Parameters Patient monitoring equipment Patients Population Postoperative period Recognition Recovery (Medical) Reliability analysis Research and Analysis Methods Respiration Sample size Surgery Telemedicine Vital signs Wearable computers |
| title | Reliability of heart rate and respiration rate measurements with a wireless accelerometer in postbariatric recovery |
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