可穿戴呼吸频率设备的临床验证:一份简短的报告。

IF 3.5 3区 医学 Q2 RESPIRATORY SYSTEM Chronic Respiratory Disease Pub Date : 2023-01-01 DOI:10.1177/14799731231198865
Arik Eisenkraft, Nir Goldstein, Arik Ben Ishay, Meir Fons, Michael Tabi, Anna Danielle Sherman, Roei Merin, Dean Nachman
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引用次数: 0

摘要

背景:呼吸频率(RR)用于诊断和管理疾病,可以预测临床变化。繁重的工作量、人手不足以及与不良记录相关的错误使其未得到充分利用。可穿戴设备可以方便其使用。方法:在互补的临床场景中,将使用可穿戴的基于光体积描记术的监护仪进行的RR测量与医疗级设备进行比较:研究一包括与35名健康志愿者的脑电图进行比较;第二项研究包括在18名通气患者中与呼吸机监测仪进行比较;第三项研究包括与92名患有活动性肺病的新冠肺炎患者的二氧化碳描记图的比较。Pearson相关性和Bland-Altman分析用于评估测量技术之间的准确性和一致性,包括体重指数(BMI)和肤色的分层。统计学显著性设定为p≤0.05。结果:所有研究均具有高度相关性(r分别为0.991、0.884和0.888,所有研究均<0.001)。在研究1、2和3的Bland-Altman分析中,分别发现95%的LOA为±2.3、1.7-(-1.6)和±3.9,偏差小于0.1次呼吸/分钟。总之,在所有亚组中都发现了高度一致性。结论:在各种临床环境中,使用可穿戴监测仪的RR测量与医疗级设备高度相关。试验注册:ClinicalTrials.gov,https://clinicaltrials.gov/ct2/show/NCT03603860.
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Clinical validation of a wearable respiratory rate device: A brief report.

Background: Respiratory rate (RR) is used for the diagnosis and management of medical conditions and can predict clinical changes. Heavy workload, understaffing, and errors related to poor recording make it underutilized. Wearable devices may facilitate its use.

Methods: RR measurements using a wearable photoplethysmography-based monitor were compared with medical grade devices in complementary clinical scenarios: Study one included a comparison to a capnograph in 35 healthy volunteers; Study two included a comparison to a ventilator monitor in 18 ventilated patients; and Study three included a comparison to capnograph in 92 COVID-19 patients with active pulmonary disease. Pearson's correlations and Bland-Altman analysis were used to assess the accuracy and agreement between the measurement techniques, including stratification for Body Mass Index (BMI) and skin tone. Statistical significance was set at p ≤ 0.05.

Results: High correlation was found in all studies (r = 0.991, 0.884, and 0.888, respectively, p < 0.001 for all). 95% LOA of ±2.3, 1.7-(-1.6), and ±3.9 with a bias of < 0.1 breaths per minute was found in Bland-Altman analysis in studies 1,2, and 3, respectively. In all, high accordance was found in all sub-groups.

Conclusions: RR measurements using the wearable monitor were highly-correlated with medical-grade devices in various clinical settings.

Trial registration: ClinicalTrials.gov, https://clinicaltrials.gov/ct2/show/NCT03603860.

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来源期刊
Chronic Respiratory Disease
Chronic Respiratory Disease RESPIRATORY SYSTEM-
CiteScore
5.90
自引率
7.30%
发文量
47
审稿时长
11 weeks
期刊介绍: Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.
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