Microbiology & Systems Biology, TNO (Netherlands Organisation for Applied Scientific Research), Leiden, The Netherlands.
Human Performance, TNO (Netherlands Organisation for Applied Scientific Research), Soesterberg, The Netherlands.
Sci Rep. 2024 Oct 4;14(1):23098. doi: 10.1038/s41598-024-73557-8.
Successful implementation of remote monitoring of vital signs outside of the hospital setting hinges on addressing three crucial unmet needs: longer-term wear, skin comfort and signal quality. Earlier, we developed a Health Patch research platform that uses self-adhesive dry electrodes to measure vital digital biomarkers. Here, we report on the analytical validation for heart rate, heart rate variability and respiration rate. Study design included n = 25 adult participants with data acquisition during a 30-minute exercise protocol involving rest, squats, slow, and fast cycling. The Shimmer3 ECG Unit and Cosmed K5, were reference devices. Data analysis showed good agreement in heart rate and marginal agreement in respiratory rate, with lower agreement towards higher respiratory rates. The Lin's concordance coefficient was 0.98 for heart rate and 0.56 for respiratory rate. Heart rate variability (RMSSD) had a coefficient of 0.85. Participants generally expressed a positive experience with the technology, with some minor irritation from the medical adhesive. The results highlighted potential of this technology for short-to-medium term clinical use for cardiorespiratory health, due to its reliability, accuracy, and compact design. Such technology could become instrumental for remote monitoring providing healthcare professionals with continuous data, remote assessment and enhancing patient outcomes in cardiorespiratory health management.
长期佩戴、皮肤舒适度和信号质量。此前,我们开发了一个使用自粘干式电极来测量重要数字生物标志物的 Health Patch 研究平台。在这里,我们报告了心率、心率变异性和呼吸率的分析验证。研究设计包括 25 名成年参与者,在涉及休息、深蹲、缓慢和快速骑行的 30 分钟运动方案中进行数据采集。Shimmer3 ECG 单元和 Cosmed K5 是参考设备。数据分析显示,心率的一致性较好,呼吸率的一致性尚可,而呼吸率较高时一致性较低。心率的林氏一致性系数为 0.98,呼吸率为 0.56。心率变异性(RMSSD)的系数为 0.85。参与者普遍对该技术的体验表示积极,只有少数人对医用粘合剂有轻微刺激。由于其可靠性、准确性和紧凑的设计,该技术具有在短至中期内用于心肺健康的临床应用潜力。这种技术可以为远程监测提供关键作用,为医疗保健专业人员提供连续数据、远程评估,并改善心肺健康管理中的患者结果。