Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease

Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease: a clinical validation study

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Standard

Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease : a clinical validation study. / Elvekjaer, Mikkel; Carlsson, Christian Jakob; Rasmussen, Søren Møller; Porsbjerg, Celeste M.; Grønbæk, Katja Kjær; Haahr-Raunkjær, Camilla; Sørensen, Helge B.D.; Aasvang, Eske K.; Meyhoff, Christian S.

I: Physiological Measurement, Bind 42, Nr. 5, 055006, 2021.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Elvekjaer, M, Carlsson, CJ, Rasmussen, SM, Porsbjerg, CM, Grønbæk, KK, Haahr-Raunkjær, C, Sørensen, HBD, Aasvang, EK & Meyhoff, CS 2021, 'Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease: a clinical validation study', Physiological Measurement, bind 42, nr. 5, 055006. https://doi.org/10.1088/1361-6579/ac010c

APA

Elvekjaer, M., Carlsson, C. J., Rasmussen, S. M., Porsbjerg, C. M., Grønbæk, K. K., Haahr-Raunkjær, C., Sørensen, H. B. D., Aasvang, E. K., & Meyhoff, C. S. (2021). Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease: a clinical validation study. Physiological Measurement, 42(5), [055006]. https://doi.org/10.1088/1361-6579/ac010c

Vancouver

Elvekjaer M, Carlsson CJ, Rasmussen SM, Porsbjerg CM, Grønbæk KK, Haahr-Raunkjær C o.a. Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease: a clinical validation study. Physiological Measurement. 2021;42(5). 055006. https://doi.org/10.1088/1361-6579/ac010c

Author

Elvekjaer, Mikkel ; Carlsson, Christian Jakob ; Rasmussen, Søren Møller ; Porsbjerg, Celeste M. ; Grønbæk, Katja Kjær ; Haahr-Raunkjær, Camilla ; Sørensen, Helge B.D. ; Aasvang, Eske K. ; Meyhoff, Christian S. / Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease : a clinical validation study. I: Physiological Measurement. 2021 ; Bind 42, Nr. 5.

Bibtex

@article{4047da272dd24ec2a0200af9372c5844,

title = "Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease: a clinical validation study",

abstract = "Objective.Wireless sensors for continuous monitoring of vital signs have potential to improve patient care by earlier detection of deterioration in general ward patients. We aimed to assess agreement between wireless and standard (wired) monitoring devices in patients hospitalized with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Approach.Paired measurements of vital signs were recorded with 15 min intervals for two hours. The primary outcome was agreement between wireless and standard monitor measurements using the Bland and Altman method to calculate bias with 95% limits of agreement (LoA). We considered LoA of less than ±5 beats min-1(bpm) acceptable for heart rate (HR), whereas agreement of peripheral oxygen saturation (SpO2), respiratory rate (RR), and blood pressure (BP) were acceptable if within ±3%-points, ±3 breaths min-1(brpm), and ±10 mmHg, respectively.Main results.180 sample-pairs of vital signs from 20 with AECOPD patients were recorded for comparison. The wireless versus standard monitor bias was 0.03 (LoA -3.2 to 3.3) bpm for HR measurements, 1.4% (LoA -0.7% to 3.6%) for SpO2, -7.8 (LoA -22.3 to 6.8) mmHg for systolic BP and -6.2 (LoA -16.8 to 4.5) mmHg for diastolic BP. The wireless versus standard monitor bias for RR measurements was 0.75 (LoA -6.1 to 7.6) brpm.Significance.Commercially available wireless monitors could accurately measure HR in patients admitted with AECOPD compared to standard wired monitoring. Agreement for SpO2were borderline acceptable while agreement for RR and BP should be interpreted with caution.",

keywords = "chronic obstructive pulmonary disease, circulatory and respiratory physiology, clinical monitoring, validation, vital signs, wireless technology",

author = "Mikkel Elvekjaer and Carlsson, {Christian Jakob} and Rasmussen, {S{\o}ren M{\o}ller} and Porsbjerg, {Celeste M.} and Gr{\o}nb{\ae}k, {Katja Kj{\ae}r} and Camilla Haahr-Raunkj{\ae}r and S{\o}rensen, {Helge B.D.} and Aasvang, {Eske K.} and Meyhoff, {Christian S.}",

note = "Publisher Copyright: {\textcopyright} 2021 Institute of Physics and Engineering in Medicine.",

year = "2021",

doi = "10.1088/1361-6579/ac010c",

language = "English",

volume = "42",

journal = "Physiological Measurement",

issn = "0967-3334",

publisher = "Institute of Physics Publishing Ltd",

number = "5",

}

RIS

TY - JOUR

T1 - Agreement between wireless and standard measurements of vital signs in acute exacerbation of chronic obstructive pulmonary disease

T2 - a clinical validation study

AU - Elvekjaer, Mikkel

AU - Carlsson, Christian Jakob

AU - Rasmussen, Søren Møller

AU - Porsbjerg, Celeste M.

AU - Grønbæk, Katja Kjær

AU - Haahr-Raunkjær, Camilla

AU - Sørensen, Helge B.D.

AU - Aasvang, Eske K.

AU - Meyhoff, Christian S.

PY - 2021

Y1 - 2021

N2 - Objective.Wireless sensors for continuous monitoring of vital signs have potential to improve patient care by earlier detection of deterioration in general ward patients. We aimed to assess agreement between wireless and standard (wired) monitoring devices in patients hospitalized with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Approach.Paired measurements of vital signs were recorded with 15 min intervals for two hours. The primary outcome was agreement between wireless and standard monitor measurements using the Bland and Altman method to calculate bias with 95% limits of agreement (LoA). We considered LoA of less than ±5 beats min-1(bpm) acceptable for heart rate (HR), whereas agreement of peripheral oxygen saturation (SpO2), respiratory rate (RR), and blood pressure (BP) were acceptable if within ±3%-points, ±3 breaths min-1(brpm), and ±10 mmHg, respectively.Main results.180 sample-pairs of vital signs from 20 with AECOPD patients were recorded for comparison. The wireless versus standard monitor bias was 0.03 (LoA -3.2 to 3.3) bpm for HR measurements, 1.4% (LoA -0.7% to 3.6%) for SpO2, -7.8 (LoA -22.3 to 6.8) mmHg for systolic BP and -6.2 (LoA -16.8 to 4.5) mmHg for diastolic BP. The wireless versus standard monitor bias for RR measurements was 0.75 (LoA -6.1 to 7.6) brpm.Significance.Commercially available wireless monitors could accurately measure HR in patients admitted with AECOPD compared to standard wired monitoring. Agreement for SpO2were borderline acceptable while agreement for RR and BP should be interpreted with caution.

AB - Objective.Wireless sensors for continuous monitoring of vital signs have potential to improve patient care by earlier detection of deterioration in general ward patients. We aimed to assess agreement between wireless and standard (wired) monitoring devices in patients hospitalized with acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Approach.Paired measurements of vital signs were recorded with 15 min intervals for two hours. The primary outcome was agreement between wireless and standard monitor measurements using the Bland and Altman method to calculate bias with 95% limits of agreement (LoA). We considered LoA of less than ±5 beats min-1(bpm) acceptable for heart rate (HR), whereas agreement of peripheral oxygen saturation (SpO2), respiratory rate (RR), and blood pressure (BP) were acceptable if within ±3%-points, ±3 breaths min-1(brpm), and ±10 mmHg, respectively.Main results.180 sample-pairs of vital signs from 20 with AECOPD patients were recorded for comparison. The wireless versus standard monitor bias was 0.03 (LoA -3.2 to 3.3) bpm for HR measurements, 1.4% (LoA -0.7% to 3.6%) for SpO2, -7.8 (LoA -22.3 to 6.8) mmHg for systolic BP and -6.2 (LoA -16.8 to 4.5) mmHg for diastolic BP. The wireless versus standard monitor bias for RR measurements was 0.75 (LoA -6.1 to 7.6) brpm.Significance.Commercially available wireless monitors could accurately measure HR in patients admitted with AECOPD compared to standard wired monitoring. Agreement for SpO2were borderline acceptable while agreement for RR and BP should be interpreted with caution.

KW - chronic obstructive pulmonary disease

KW - circulatory and respiratory physiology

KW - clinical monitoring

KW - validation

KW - vital signs

KW - wireless technology

U2 - 10.1088/1361-6579/ac010c

DO - 10.1088/1361-6579/ac010c

M3 - Journal article

C2 - 33984846

AN - SCOPUS:85108583225

VL - 42

JO - Physiological Measurement

JF - Physiological Measurement

SN - 0967-3334

IS - 5

M1 - 055006

ER -

ID: 273645959