Accuracy of vital parameters measured by a wearable patch following major abdominal cancer surgery

Jonna A van der Stam; Eveline H J Mestrom; Jai Scheerhoorn; Fleur Jacobs; Ignace H J T de Hingh; Natal A W van Riel; Arjen-Kars Boer; Volkher Scharnhorst; Simon W Nienhuijs; R Arthur Bouwman

doi:10.1016/j.ejso.2021.10.034

Accuracy of vital parameters measured by a wearable patch following major abdominal cancer surgery

Jonna A van der Stam^*, Eveline H J Mestrom, Jai Scheerhoorn, Fleur Jacobs, Ignace H J T de Hingh, Natal A W van Riel, Arjen-Kars Boer, Volkher Scharnhorst, Simon W Nienhuijs, R Arthur Bouwman

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

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.

Original language	English
Pages (from-to)	917-923
Number of pages	7
Journal	European Journal of Surgical Oncology
Volume	48
Issue number	4
Early online date	2 Nov 2021
DOIs	https://doi.org/10.1016/j.ejso.2021.10.034
Publication status	Published - Apr 2022

Keywords

ANTECEDENTS
Accelerometer
MORTALITY
Major-abdominal cancer surgery
Physiologic monitoring
RESPIRATORY RATE
SYSTEM
Wearable electronic devices

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van der Stam, J. A., Mestrom, E. H. J., Scheerhoorn, J., Jacobs, F., de Hingh, I. H. J. T., van Riel, N. A. W., Boer, A.-K., Scharnhorst, V., Nienhuijs, S. W., & Bouwman, R. A. (2022). Accuracy of vital parameters measured by a wearable patch following major abdominal cancer surgery. European Journal of Surgical Oncology, 48(4), 917-923. https://doi.org/10.1016/j.ejso.2021.10.034

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title = "Accuracy of vital parameters measured by a wearable patch following major abdominal cancer surgery",

abstract = "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.",

keywords = "ANTECEDENTS, Accelerometer, MORTALITY, Major-abdominal cancer surgery, Physiologic monitoring, RESPIRATORY RATE, SYSTEM, Wearable electronic devices",

author = "{van der Stam}, {Jonna A} and Mestrom, {Eveline H J} and Jai Scheerhoorn and Fleur Jacobs and {de Hingh}, {Ignace H J T} and {van Riel}, {Natal A W} and Arjen-Kars Boer and Volkher Scharnhorst and Nienhuijs, {Simon W} and Bouwman, {R Arthur}",

year = "2022",

month = apr,

doi = "10.1016/j.ejso.2021.10.034",

language = "English",

volume = "48",

pages = "917--923",

journal = "European Journal of Surgical Oncology",

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publisher = "W.B. Saunders Ltd",

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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

PY - 2022/4

Y1 - 2022/4

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 - ANTECEDENTS

KW - Accelerometer

KW - MORTALITY

KW - Major-abdominal cancer surgery

KW - Physiologic monitoring

KW - RESPIRATORY RATE

KW - SYSTEM

KW - Wearable electronic devices

U2 - 10.1016/j.ejso.2021.10.034

DO - 10.1016/j.ejso.2021.10.034

M3 - Article

C2 - 34753618

SN - 0748-7983

VL - 48

SP - 917

EP - 923

JO - European Journal of Surgical Oncology

JF - European Journal of Surgical Oncology

IS - 4

ER -

Accuracy of vital parameters measured by a wearable patch following major abdominal cancer surgery

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Keywords

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