Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study

Abstract Background Wearable devices generate signals detecting activity, sleep, and heart rate, all of which could enable detailed and near-continuous characterization of recovery following critical illness. Methods To determine the feasibility of using a wrist-worn personal fitness tracker among p...

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Main Authors: Ryan R. Kroll, Erica D. McKenzie, J. Gordon Boyd, Prameet Sheth, Daniel Howes, Michael Wood, David M. Maslove, for the WEARable Information Technology for hospital INpatients (WEARIT-IN) study group
Format: Article
Language:English
Published: BMC 2017-11-01
Series:Journal of Intensive Care
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40560-017-0261-9
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author Ryan R. Kroll
Erica D. McKenzie
J. Gordon Boyd
Prameet Sheth
Daniel Howes
Michael Wood
David M. Maslove
for the WEARable Information Technology for hospital INpatients (WEARIT-IN) study group
author_facet Ryan R. Kroll
Erica D. McKenzie
J. Gordon Boyd
Prameet Sheth
Daniel Howes
Michael Wood
David M. Maslove
for the WEARable Information Technology for hospital INpatients (WEARIT-IN) study group
author_sort Ryan R. Kroll
collection DOAJ
description Abstract Background Wearable devices generate signals detecting activity, sleep, and heart rate, all of which could enable detailed and near-continuous characterization of recovery following critical illness. Methods To determine the feasibility of using a wrist-worn personal fitness tracker among patients recovering from critical illness, we conducted a prospective observational study of a convenience sample of 50 stable ICU patients. We assessed device wearability, the extent of data capture, sensitivity and specificity for detecting heart rate excursions, and correlations with questionnaire-derived sleep quality measures. Results Wearable devices were worn over a 24-h period, with excellent capture of data. While specificity for the detection of tachycardia was high (98.8%), sensitivity was low to moderate (69.5%). There was a moderate correlation between wearable-derived sleep duration and questionnaire-derived sleep quality (r = 0.33, P = 0.03). Devices were well-tolerated and demonstrated no degradation in quality of data acquisition over time. Conclusions We found that wearable devices could be worn by patients recovering from critical illness and could generate useful data for the majority of patients with little adverse effect. Further development and study are needed to better define and enhance the role of wearables in the monitoring of post-ICU recovery. Trial registration Clinicaltrials.gov, NCT02527408
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spelling doaj.art-df91715f8de642b5a5a180c50cc3de6f2022-12-22T01:44:56ZengBMCJournal of Intensive Care2052-04922017-11-01511810.1186/s40560-017-0261-9Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility studyRyan R. Kroll0Erica D. McKenzie1J. Gordon Boyd2Prameet Sheth3Daniel Howes4Michael Wood5David M. Maslove6for the WEARable Information Technology for hospital INpatients (WEARIT-IN) study groupDepartment of Critical Care Medicine, Queen’s University and Kingston Health Sciences CentreSchool of Medicine, Queen’s UniversityDepartment of Critical Care Medicine, Queen’s University and Kingston Health Sciences CentreDepartment of Pathology and Molecular Medicine, Queen’s University and Health Sciences CentreDepartment of Critical Care Medicine, Queen’s University and Kingston Health Sciences CentreDepartment of Neuroscience, Queen’s UniversityDepartment of Critical Care Medicine, Queen’s University and Kingston Health Sciences CentreAbstract Background Wearable devices generate signals detecting activity, sleep, and heart rate, all of which could enable detailed and near-continuous characterization of recovery following critical illness. Methods To determine the feasibility of using a wrist-worn personal fitness tracker among patients recovering from critical illness, we conducted a prospective observational study of a convenience sample of 50 stable ICU patients. We assessed device wearability, the extent of data capture, sensitivity and specificity for detecting heart rate excursions, and correlations with questionnaire-derived sleep quality measures. Results Wearable devices were worn over a 24-h period, with excellent capture of data. While specificity for the detection of tachycardia was high (98.8%), sensitivity was low to moderate (69.5%). There was a moderate correlation between wearable-derived sleep duration and questionnaire-derived sleep quality (r = 0.33, P = 0.03). Devices were well-tolerated and demonstrated no degradation in quality of data acquisition over time. Conclusions We found that wearable devices could be worn by patients recovering from critical illness and could generate useful data for the majority of patients with little adverse effect. Further development and study are needed to better define and enhance the role of wearables in the monitoring of post-ICU recovery. Trial registration Clinicaltrials.gov, NCT02527408http://link.springer.com/article/10.1186/s40560-017-0261-9Wearable devicesMedical informaticsMobile health technologiesValidation studyCritical careSleep quality
spellingShingle Ryan R. Kroll
Erica D. McKenzie
J. Gordon Boyd
Prameet Sheth
Daniel Howes
Michael Wood
David M. Maslove
for the WEARable Information Technology for hospital INpatients (WEARIT-IN) study group
Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study
Journal of Intensive Care
Wearable devices
Medical informatics
Mobile health technologies
Validation study
Critical care
Sleep quality
title Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study
title_full Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study
title_fullStr Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study
title_full_unstemmed Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study
title_short Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study
title_sort use of wearable devices for post discharge monitoring of icu patients a feasibility study
topic Wearable devices
Medical informatics
Mobile health technologies
Validation study
Critical care
Sleep quality
url http://link.springer.com/article/10.1186/s40560-017-0261-9
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