PMID- 27651304
OWN - NLM
STAT- MEDLINE
DCOM- 20170911
LR  - 20230513
IS  - 1438-8871 (Electronic)
IS  - 1439-4456 (Print)
IS  - 1438-8871 (Linking)
VI  - 18
IP  - 9
DP  - 2016 Sep 20
TI  - Accuracy of a Wrist-Worn Wearable Device for Monitoring Heart Rates in Hospital 
      Inpatients: A Prospective Observational Study.
PG  - e253
LID - 10.2196/jmir.6025 [doi]
LID - e253
AB  - BACKGROUND: As the sensing capabilities of wearable devices improve, there is 
      increasing interest in their application in medical settings. Capabilities such 
      as heart rate monitoring may be useful in hospitalized patients as a means of 
      enhancing routine monitoring or as part of an early warning system to detect 
      clinical deterioration. OBJECTIVE: To evaluate the accuracy of heart rate 
      monitoring by a personal fitness tracker (PFT) among hospital inpatients. 
      METHODS: We conducted a prospective observational study of 50 stable patients in 
      the intensive care unit who each completed 24 hours of heart rate monitoring 
      using a wrist-worn PFT. Accuracy of heart rate recordings was compared with gold 
      standard measurements derived from continuous electrocardiographic (cECG) 
      monitoring. The accuracy of heart rates measured by pulse oximetry (Spo2.R) was 
      also measured as a positive control. RESULTS: On a per-patient basis, PFT-derived 
      heart rate values were slightly lower than those derived from cECG monitoring 
      (average bias of -1.14 beats per minute [bpm], with limits of agreement of 24 
      bpm). By comparison, Spo2.R recordings produced more accurate values (average 
      bias of +0.15 bpm, limits of agreement of 13 bpm, P<.001 as compared with PFT). 
      Personal fitness tracker device performance was significantly better in patients 
      in sinus rhythm than in those who were not (average bias -0.99 bpm vs -5.02 bpm, 
      P=.02). CONCLUSIONS: Personal fitness tracker-derived heart rates were slightly 
      lower than those derived from cECG monitoring in real-world testing and not as 
      accurate as Spo2.R-derived heart rates. Performance was worse among patients who 
      were not in sinus rhythm. Further clinical evaluation is indicated to see if PFTs 
      can augment early warning systems in hospitals. TRIAL REGISTRATION: 
      ClinicalTrials.gov NCT02527408; https://clinicaltrials.gov/ct2/show/NCT02527408 
      (Archived by WebCite at  http://www.webcitation.org/6kOFez3on).
FAU - Kroll, Ryan R
AU  - Kroll RR
AUID- ORCID: 0000-0001-5170-3062
AD  - Department of Medicine, Queen's University, Kingston, ON, Canada.
FAU - Boyd, J Gordon
AU  - Boyd JG
AUID- ORCID: 0000-0002-9522-2364
FAU - Maslove, David M
AU  - Maslove DM
AUID- ORCID: 0000-0002-0765-7158
LA  - eng
SI  - ClinicalTrials.gov/NCT02527408
PT  - Journal Article
DEP - 20160920
PL  - Canada
TA  - J Med Internet Res
JT  - Journal of medical Internet research
JID - 100959882
SB  - IM
MH  - Biometry/*instrumentation
MH  - Cohort Studies
MH  - Female
MH  - Heart Rate/*physiology
MH  - Humans
MH  - Inpatients
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/*instrumentation
MH  - Prospective Studies
MH  - Wrist
PMC - PMC5050383
OTO - NOTNLM
OT  - biometry/instrumentation
OT  - clinical trial
OT  - clothing
OT  - informatics
OT  - monitoring, physiologic
COIS- Conflicts of Interest: None declared.
EDAT- 2016/09/22 06:00
MHDA- 2017/09/12 06:00
PMCR- 2016/09/20
CRDT- 2016/09/22 06:00
PHST- 2016/05/24 00:00 [received]
PHST- 2016/08/29 00:00 [accepted]
PHST- 2016/08/12 00:00 [revised]
PHST- 2016/09/22 06:00 [entrez]
PHST- 2016/09/22 06:00 [pubmed]
PHST- 2017/09/12 06:00 [medline]
PHST- 2016/09/20 00:00 [pmc-release]
AID - v18i9e253 [pii]
AID - 10.2196/jmir.6025 [doi]
PST - epublish
SO  - J Med Internet Res. 2016 Sep 20;18(9):e253. doi: 10.2196/jmir.6025.