Tayal Mohit, Mukherjee Anirudh, Chauhan Udit, Uniyal Madhur, Garg Sakshi, Singh Anjana, Bhadoria Ajeet Singh, Kant Ravi
Division of Interventional Radiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of General Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Indian J Community Med. 2020 Apr-Jun;45(2):235-239. doi: 10.4103/ijcm.IJCM_317_20. Epub 2020 Jun 2.
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.
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.
The statistical analysis involved computation of intraclass correlation coefficient. Bland-Altman graphs with limits of agreement were plotted to assess agreement between methods. <0.05 was considered statistically significant.
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; > 0.9) was noted between the two devices for all the investigated parameters with significant value (<0.01). Bland-Altman plot drawn for each vital parameter revealed observations in agreement from both the devices.
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.
包括血氧水平、呼吸频率、脉搏率和体温在内的生命体征参数对于将患者分诊至适当的医疗护理至关重要。远程健康监测系统和可穿戴健康设备的进展为远程提供高效医疗保健开创了新局面。
这项诊断验证研究纳入了该研究所门诊部的患者。将所研究设备的准确性与重症监护病房使用的金标准患者监测系统进行比较。
统计分析包括计算组内相关系数。绘制带有一致性界限的布兰德-奥特曼图以评估方法之间的一致性。P<0.05被认为具有统计学意义。
共有200名患者组成研究组，其中男性152名，女性48名，年龄在2至80岁之间。对于所有研究参数，两种设备之间均存在强相关性（组内相关系数；>0.9），P值具有显著性（<0.01）。为每个生命体征参数绘制的布兰德-奥特曼图显示两种设备的观察结果一致。
该可穿戴设备可可靠地用于远程健康监测。其规范使用有助于缓解医院床位短缺的问题，并减少医护人员的接触以及个人防护设备的需求。
