Evaluating blood oxygen saturation measurements by popular fitness trackers in postoperative patients: A prospective clinical trial.

Bioelectronics Clinical measurement in health technology Health sciences

Journal

iScience
ISSN: 2589-0042
Titre abrégé: iScience
Pays: United States
ID NLM: 101724038

Informations de publication

Date de publication:
17 Nov 2023
Historique:
received: 28 03 2023
revised: 29 08 2023
accepted: 03 10 2023
medline: 25 10 2023
pubmed: 25 10 2023
entrez: 25 10 2023
Statut: epublish

Résumé

Blood oxygen saturation is an important clinical parameter, especially in postoperative hospitalized patients, monitored in clinical practice by arterial blood gas (ABG) and/or pulse oximetry that both are not suitable for a long-term continuous monitoring of patients during the entire hospital stay, or beyond. Technological advances developed recently for consumer-grade fitness trackers could-at least in theory-help to fill in this gap, but benchmarks on the applicability and accuracy of these technologies in hospitalized patients are currently lacking. We therefore conducted at the postanaesthesia care unit under controlled settings a prospective clinical trial with 201 patients, comparing in total >1,000 oxygen blood saturation measurements by fitness trackers of three brands with the ABG gold standard and with pulse oximetry. Our results suggest that, despite of an overall still tolerable measuring accuracy, comparatively high dropout rates severely limit the possibilities of employing fitness trackers, particularly during the immediate postoperative period of hospitalized patients.

Identifiants

pubmed: 37876822
doi: 10.1016/j.isci.2023.108155
pii: S2589-0042(23)02232-0
pmc: PMC10590865
doi:

Types de publication

Journal Article

Langues

eng

Pagination

108155

Informations de copyright

© 2023 The Authors.

Déclaration de conflit d'intérêts

S.H., P.R., R.L., B.E.W., M.H., R.P., and M.S. declare no conflicts of interest. P.H. received a research award from Vogel-Foundation and is a member of the Clinician Scientist Program, Wuerzburg. P.M. received honoraria for scientific lectures from CSL Behring GmbH, Haemonetics, Werfen GmbH, and ViforPharma GmbH. P.K. received lecturing fees from TEVA, Sintetica, CSL Behring GmbH, Vifor Pharma GmbH, Pharmacosmos, and Grünenthal and consulted for TEVA and Milestone Scientific Inc. All mentioned funders and especially the manufacturers of the investigated devices had no role in the design of the study; collection, analyses, or interpretation of data; writing of the manuscript; or in the decision to publish the results.

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Auteurs

Philipp Helmer (P)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.

Philipp Rodemers (P)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.

Sebastian Hottenrott (S)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.

Robert Leppich (R)

Department of Software Engineering, Faculty of Computer Science, University Würzburg, Am Hubland, 97074 Würzburg, Germany.

Maja Helwich (M)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.

Rüdiger Pryss (R)

Institute for Clinical Epidemiology and Biometry, University Würzburg, Josef-Schneider-Str. 2, 97080 Würzburg, Germany.

Peter Kranke (P)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.

Patrick Meybohm (P)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.

Bernd E Winkler (BE)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.

Michael Sammeth (M)

Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany.
Department of Applied Sciences and Health, Coburg University, Friedrich-Streib-Str. 2, 96450 Coburg, Germany.

Classifications MeSH