Department of Computer Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Center for Bio-Integrated Electronics at Northwestern University, Evanston, Illinois, USA.
Telemed J E Health. 2023 Jun;29(6):813-828. doi: 10.1089/tmj.2022.0182. Epub 2022 Oct 25.
Photoplethysmography (PPG) sensors have been increasingly used for remote patient monitoring, especially during the COVID-19 pandemic, for the management of chronic diseases and neurological disorders. There is an urgent need to evaluate the accuracy of these devices. This scoping review considers the latest applications of wearable PPG sensors with a focus on studies that used wearable PPG sensors to monitor various health parameters. The primary objective is to report the accuracy of the PPG sensors in both real-world and clinical settings. This scoping review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). Studies were identified by querying the Medline, Embase, IEEE, and CINAHL databases. The goal was to capture eligible studies that used PPG sensors to monitor various health parameters for populations with a minimum of 30 participants, with at least some of the population having relevant health issues. A total of 2,996 articles were screened and 28 are included in this review. The health parameters and disorders identified and investigated in this study include heart rate and heart rate variability, atrial fibrillation, blood pressure (BP), obstructive sleep apnea, blood glucose, heart failure, and respiratory rate. An overview of the algorithms used, and their limitations is provided. Some of the barriers identified in evaluating the accuracy of multiple types of wearable devices include the absence of reporting standard accuracy metrics and a general paucity of studies with large subject size in real-world settings, especially for parameters such as BP.
光电容积脉搏波描记法(PPG)传感器已越来越多地用于远程患者监测,尤其是在 COVID-19 大流行期间,用于管理慢性病和神经疾病。迫切需要评估这些设备的准确性。本范围综述考虑了可穿戴 PPG 传感器的最新应用,重点是使用可穿戴 PPG 传感器监测各种健康参数的研究。主要目的是报告 PPG 传感器在真实和临床环境中的准确性。本范围综述是根据系统评价和荟萃分析的首选报告项目(PRISMA)进行的。通过查询 Medline、Embase、IEEE 和 CINAHL 数据库来确定研究。目标是捕获使用 PPG 传感器监测具有至少 30 名参与者的人群的各种健康参数的合格研究,其中至少有一些人群存在相关健康问题。共筛选了 2996 篇文章,其中 28 篇纳入本综述。本研究中确定和研究的健康参数和疾病包括心率和心率变异性、心房颤动、血压(BP)、阻塞性睡眠呼吸暂停、血糖、心力衰竭和呼吸频率。概述了所使用的算法及其局限性。在评估多种类型的可穿戴设备的准确性时发现的一些障碍包括缺乏报告标准准确性指标以及在真实环境中特别是对于 BP 等参数具有大样本量的研究普遍缺乏。
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