VALIDATION OF WIRELESS REAL-TIME MULTI-VITALS MONITORING SOLUTION FOR UTILITY IN REMOTE PATIENT MONITORING AT CLINICAL CARE PRACTICE

Main Article Content

Mehdi Ali Mirza1, Sudha Bala2, Rajiv Kumar Bandaru3, Mallikharjuna Kampally4, Sowjanya Patibandla5

Keywords

Remote monitoring, multi-vitals, telehealth, artificial intelligence, wireless wearable, patch biosensors

Abstract

Background: Recently the combination of telehealth with remote patient monitoring has paved the way for enhanced and augmented healthcare services. Its benefits include obtaining efficient, cost and time-saving patient’s information and minimizing error factors. The validation of multi-vital artificial intelligence-based software (Vigo platform) was conducted to correlate the reproducibility of real-time vital recording solution internally by comparing with standard methods and externally on screen of app, nursing station and command centre. Methods: IEC approval and informed consent were obtained. A total of seventeen healthy volunteers were admitted and deployed on the multi-vital monitoring solution kit in an ambient environmental settings and recordings continued for 24 hours. The values were correlated by those obtained through standard methods and CE-certified medical devices over the time-points 0, 2, 4, 6, 8, 10, 12, and 24 hours. ECG were measured at 0, 4, 8, 12, and 24 hours respectively. Results: All the volunteers were male of mean age 21 ± 3 years and mean BMI 22.9 ± 1.7 Kg/m2. Vital parameters included heart rate, pulse rate, respiratory rate, temperature, systolic blood pressure, diastolic blood pressure and ECG values including P-wave, PR-interval, QRS-complex, RR-interval, QT-interval, ST-Segment, T-wave were strongly and significantly correlated internally ranging 88-98% (p>0.01) and 100% correlated externally (p>0.01). Conclusion: All the vital parameters and ECG measures were strongly matched and correlated internally and externally. This work supports remote monitoring technology as part of remote patient care. Thus, the software solution Vigo platform that was developed in this work may become a route to patients’ safety.

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1. Tevis SE, Kennedy GD. Postoperative complications and implications on patient-centered outcomes. J Surg Res [Internet]. 2013;181(1):106–13. Available from: http://dx.doi.org/10.1016/j.jss.2013.01.032 2. Cardona-Morrell M, Prgomet M, Lake R, Nicholson M, Harrison R, Long J, et al. Vital signs monitoring and nurse–patient interaction: A qualitative observational study of hospital practice. Int J Nurs Stud [Internet]. 2015;56:9–16. Available from: http://dx.doi.org/10.1016/j.ijnurstu.2015.12.007 3. Sahu ML, Atulkar M, Ahirwal MK, Ahamad A. IoT-enabled cloud-based real-time remote ECG monitoring system. J Med Eng Technol [Internet]. 2021;45(6):473–85. Available from: https://doi.org/10.1080/03091902.2021.1921870 4. Mansoor Baig M, GholamHosseini H, Connolly MJ, Kashfi G. Real-Time Vital Signs Monitoring and Interpretation System for Early Detection of Multiple Physical Signs in Older Adults. 2014. 5. Siam AI, Almaiah MA, Al-Zahrani A, Elazm AA, El Banby GM, El-Shafai W, et al. Secure Health Monitoring Communication Systems Based on IoT and Cloud Computing for Medical Emergency Applications. Comput Intell Neurosci. 2021;2021. 6. Wong CK, Tip D, Ho Y, Tam AR, Zhou M, Lau YM, et al. Artificial intelligence mobile health platform for early detection of COVID-19 in quarantine subjects using a wearable biosensor: protocol for a randomised controlled trial. BMJ Open [Internet]. 2020;10:38555. Available from: http://bmjopen.bmj.com 7. Siam AI, Almaiah MA, Al-zahrani A, Elazm AA, Banby GM El, El-shafai W, et al. Secure Health Monitoring Communication Systems Based on IoT and Cloud Computing for Medical Emergency Applications. 2021;2021. 8. Kobayashi N, Homma S. Analysis of telemonitoring multi vital data for alert detection on telecare system. 2019 IEEE 1st Glob Conf Life Sci Technol LifeTech 2019. 2019;123–4. 9. Gao T, Hauenstein LK, Alm A, Crawford D, Sims CK, Husain A, et al. Vital signs monitoring and patient tracking over a wireless network. Johns Hopkins APL Tech Dig (Applied Phys Lab. 2006;27(1):66–73. 10. Haveman ME, van Rossum MC, Vaseur RME, van der Riet C, Schuurmann RCL, Hermens HJ, et al. Continuous Monitoring of Vital Signs With Wearable Sensors During Daily Life Activities: Validation Study. JMIR Form Res. 2022;6(1):1–35. 11. Mok WQ, Wang W, Liaw SY. Vital signs monitoring to detect patient deterioration: An integrative literature review. Int J Nurs Pract. 2015;21(S2):91–8. 12. Mok W, Wang W, Cooper S, Ang ENK, Liaw SY. Attitudes towards vital signs monitoring in the detection of clinical deterioration: Scale development and survey of ward nurses. Int J Qual Heal Care. 2015;27(3):207–13. 13. Posthuma LM, Downey C, Visscher MJ, Ghazali DA, Joshi M, Ashrafian H, et al. Remote wireless vital signs monitoring on the ward for early detection of deteriorating patients: A case series. Int J Nurs Stud [Internet]. 2020;104:103515. Available from: https://doi.org/10.1016/j.ijnurstu.2019.103515 14. Brekke IJ, Puntervoll LH, Pedersen PB, Kellett J, Brabrand M. The value of vital sign trends in predicting and monitoring clinical deterioration: A systematic review. PLoS One. 2019;14(1):1–13. 15. Sostaric D, Mester G, Dorner S. Mobile ECG and SPO2 Chest Pain Subjective Indicators of Patient with GPS Location in Smart Cities. Interdiscip Descr Complex Syst. 2019;17(3):629–39. 16. Massoomi MR, Handberg EM. Increasing and evolving role of smart devices in modern medicine. Eur Cardiol Rev . 2019;14(3):181–6. 17. Marathe S, Zeeshan D, Thomas T, Vidhya S. A Wireless Patient Monitoring System using Integrated ECG module, Pulse Oximeter, Blood Pressure and Temperature Sensor. Proc - Int Conf Vis Towar Emerg Trends Commun Networking, ViTECoN 2019. 2019;1–4. 18. Soon S, Svavarsdottir H, Downey C, Jayne DG. Wearable devices for remote vital signs monitoring in the outpatient setting: An overview of the field. BMJ Innov. 2020;6(2):55. 19. Prytherch DR, Smith GB, Schmidt P, Featherstone PI, Stewart K, Knight D, et al. Calculating early warning scores-A classroom comparison of pen and paper and hand-held computer methods. Resuscitation. 2006;70(2):173–8. 20. Mantena S, Keshavjee S. Strengthening healthcare delivery with remote patient monitoring in the time of COVID-19. BMJ Heal Care Informatics. 2021;28(1):2020–2. 21. Forkan ARM, Khalil I. PEACE-Home: Probabilistic estimation of abnormal clinical events using vital sign correlations for reliable home-based monitoring. Pervasive Mob Comput [Internet]. 2017;38:296–311. Available from: http://dx.doi.org/10.1016/j.pmcj.2016.12.009 22. Vegesna A, Tran M, Angelaccio M, Arcona S. Remote patient monitoring via non-invasive digital technologies: a systematic review. Telemedicine and e-Health. 2017 Jan 1;23(1):3-17. 23. Van Norman GA. Decentralized Clinical Trials: The Future of Medical Product Development?∗. JACC Basic to Transl Sci [Internet]. 2021;6(4):384–7. Available from: https://doi.org/10.1016/j.jacbts.2021.01.011 24. Coffey JD, Christopherson LA, Glasgow AE, Pearson KK, Brown JK, Gathje SR, Sangaralingham LR, Carmona Porquera EM, Virk A, Orenstein R, Speicher LL. Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19. npj Digital Medicine. 2021 Aug 13;4(1):123.