Wearable devices for remote vital signs monitoring in the outpatient setting: an overview of the field

Soon, Stephanie; Svavarsdottir, Hafdis S.; Downey, Candice; Jayne, David

doi:10.1136/bmjinnov-2019-000354

Cited by 90 publications

(66 citation statements)

References 174 publications

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“…Utilizing new technologies for evaluating and monitoring pilgrims’ health at distance and in real-time, as well as providing consultation and medical assistance remotely, can be useful in such a crowded event. Various technologies to monitor patients’ vital signs and other health parameters at distance have been developed [ 51 , 52 ]. These, in combination with telemedicine, could prove beneficial in Hajj, including during the current COVID-19 pandemic [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

A Longitudinal Study Regarding the Health Profile of the 2017 South African Hajj Pilgrims

Mushi

Yassin

Khan

et al. 2021

IJERPH

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The Hajj mass gathering annually attracts over two million Muslim pilgrims worldwide to the Kingdom of Saudi Arabia (KSA). We aimed to establish demographics and health profiles for the South African pilgrims performing the 2017 Hajj. Methods: This is a longitudinal survey-based study conducted on 1138 adult South African pilgrims in two phases (during and post-Hajj). Data on demographics, vaccination status, underlying health conditions, pre-Hajj training, health promotion, travel history, and health issues during and post-Hajj were collected using pre-designed questionnaires. Results: Participants had a mean age of 49.2 years (SD = 13.3; range 18–81), with a male: female ratio of 1.2:1. The majority of pilgrims were married (88.2%), of Indian/Asian background (73%), and literate (>99%). Nearly all pilgrims were vaccinated against meningococcal disease and yellow fever, but only 23.7% were vaccinated against Influenza. Hypertension, diabetes, and elevated cholesterol levels were the most common underlying health conditions reported by 22.6%, 13.2%, and 11.5% of pilgrims, respectively. One month after return to South Africa, nearly 65% of pilgrims reported illness during Hajj, while 40% reported falling ill post event upon return to South Africa. Nevertheless, only a few were admitted to hospitals (12 during Hajj and 15 post-Hajj). Among ill pilgrims, respiratory symptoms were the most commonly experienced symptoms during (70.2%) and post-Hajj (82.2%). Other symptoms such as walking-related symptoms include symptoms directly related or mainly caused by walking (e.g., leg pain, sore feet, blisters on the feet), dehydration, and gastrointestinal tract symptoms reported during Hajj. Medication to treat respiratory symptoms and antibiotics were the most commonly used medications during and post-Hajj. Having an underlying health condition was an independent predictor of falling ill during or post Hajj. Conclusion: Our study indicates that a sizable proportion of South African pilgrims are elderly with underlying health conditions and most contract respiratory tract infections during and post Hajj. Our study highlights the need for systematic collection of prospective pilgrims’ demographics and health data and more attention to post-Hajj health follow-ups of pilgrims.

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Section: Discussionmentioning

confidence: 99%

A Longitudinal Study Regarding the Health Profile of the 2017 South African Hajj Pilgrims

Mushi

Yassin

Khan

et al. 2021

IJERPH

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“…Already available wearable sensing technologies rely on mechanical, electrical or optical methods to measure certain parameters such as acceleration, heart rate, heart rate variability, blood oxygen saturation, temperature, etc. [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Electrochemical Patch-Based Sensor System for Monitoring Glucose and Lactate in the Human Body—A Survey-Based Analysis of the End-User’s Perspective

Holzer

Bloch

Brinkmann

2020

Sensors

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Background: Wearable electrochemical sensors that detect human biomarkers allow a comprehensive analysis of a person’s health condition. The “electronic smart patch system for wireless monitoring of molecular biomarkers for health care and well-being” (ELSAH) project aims to develop a minimally invasive sensor system that is capable of continuously monitoring glucose and lactate in the dermal interstitial fluid in real time. It is the objective of the present study to compare the intended ELSAH-patch specifications with the expectations and requirements of potential end-users at an early stage during the development phase. Methods: A questionnaire addressing different aspects of the ELSAH-patch was filled out by 383 respondents. Results: The participants stated a high general demand for such a system, and they would use the ELSAH-patch in different health care and physical fitness applications. The preferred terminal device for communication with the sensor would be the smartphone. An operating time of 24 hours would be sufficient for 55.8% of the users (95%-CI: 50.3–61.3%), while 43.5% of them (95%-CI: 38.0–48.9%) would prefer a lifetime of several days or more. The software should have a warning function, especially for critical health conditions. Since the measured personal data would be highly sensitive, the participants called for high standards for data security and privacy. Conclusion: In general, the participants’ responses on their expectations and requirements were well in line with the intended specifications of the ELSAH-patch system. However, certain technical aspects such as the lifetime, data security and accuracy require special attention during its development.

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“…They have an imminent role in triaging the patient to appropriate care and predicting recovery or deterioration. [ 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

“…Advances in sensor technology and artificial intelligence coupled with medical conversance have led to a revolutionary development. [ 4 ] Recent times have witnessed commercial launches of such devices without clinical validation studies rendering them unsuitable for medical use. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluation of remote monitoring device for monitoring vital parameters against reference standard: A diagnostic validation study for COVID-19 preparedness

Tayal¹,

Mukherjee²,

Chauhan³

et al. 2020

Indian J Community Med

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Context: Vital parameters including blood oxygen level, respiratory rate, pulse rate, and body temperature are crucial for triaging patients to appropriate medical care. Advances in remote health monitoring system and wearable health devices have created a new horizon for delivery of efficient health care from a distance. Materials and Methods: This diagnostic validation study included patients attending the outpatient department of the institute. The accuracy of device under study was compared against the gold standard patient monitoring systems used in intensive care units. Statistical Analysis: The statistical analysis involved computation of intraclass correlation coefficient. Bland–Altman graphs with limits of agreement were plotted to assess agreement between methods. P <0.05 was considered statistically significant. Results: A total of 200 patients, including 152 males and 48 females in the age range of 2–80 years, formed the study group. A strong correlation (intraclass correlation coefficient; r > 0.9) was noted between the two devices for all the investigated parameters with significant P value (<0.01). Bland–Altman plot drawn for each vital parameter revealed observations in agreement from both the devices. Conclusion: The wearable device can be reliably used for remote health monitoring. Its regulated use can help mitigate the scarcity of hospital beds and reduce exposure to health-care workers and demand of personal protection equipment.

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Wearable devices for remote vital signs monitoring in the outpatient setting: an overview of the field

Cited by 90 publications

References 174 publications

A Longitudinal Study Regarding the Health Profile of the 2017 South African Hajj Pilgrims

A Longitudinal Study Regarding the Health Profile of the 2017 South African Hajj Pilgrims

Minimally Invasive Electrochemical Patch-Based Sensor System for Monitoring Glucose and Lactate in the Human Body—A Survey-Based Analysis of the End-User’s Perspective

Evaluation of remote monitoring device for monitoring vital parameters against reference standard: A diagnostic validation study for COVID-19 preparedness

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