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

• Published in: European journal of surgical oncology Vol. 48; no. 4; pp. 917 - 923
• Main Authors: van der Stam, Jonna A., Mestrom, Eveline H.J., Scheerhoorn, Jai, Jacobs, Fleur, de Hingh, Ignace H.J.T., van Riel, Natal A.W., Boer, Arjen-Kars, Scharnhorst, Volkher, Nienhuijs, Simon W., Bouwman, R. Arthur
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-04-2022
• Subjects: Accelerometer; Heart Rate; Humans; Major-abdominal cancer surgery; Monitoring, Physiologic; Neoplasms; Physiologic monitoring; Respiratory Rate; Wearable Electronic Devices; Accelerometer; Major-abdominal cancer surgery; Wearable electronic devices; Physiologic monitoring
• ISSN: 0748-7983; 1532-2157
• DOI: 10.1016/j.ejso.2021.10.034

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).
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.
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.
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.
∙Accuracy of Healthdot patch studied in high risk cancer surgery patients∙Heart Rate and Respiration Rate are accurately measured with wearable patch sensor∙Measurements were clinically acceptable for at least 99% of the 5-min intervals