Evidence map›Paper›PMID 31632685›Full record

ArticleDigital health

Validation of a wearable biosensor device for vital sign monitoring in septic emergency department patients in Rwanda.

Stephanie C Garbern, Gabin Mbanjumucyo, Christian Umuhoza, Vinay K Sharma, James Mackey, Oliver Tang, Kyle D Martin, Francois R Twagirumukiza, Samantha L Rosman, Natalie McCall and 2 more

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  4. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Stephanie C GarbernDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, USA.ORCID https://orcid.org/0000-0002-0919-2841
Gabin MbanjumucyoDepartment of Anesthesia, Emergency Medicine and Critical Care, University of Rwanda, Kigali, Rwanda.
Christian UmuhozaDepartment of Pediatrics, Pediatric Emergency Unit, University Teaching Hospital of Kigali, Kigali, Rwanda.
Vinay K SharmaMichigan State University College of Human Medicine, East Lansing, USA.
James MackeyColumbia University Mailman School of Public Health, New York, USA.
Oliver TangBrown University, Providence, USA.
Kyle D MartinDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, USA.
Francois R TwagirumukizaDepartment of Anesthesia, Emergency Medicine and Critical Care, University of Rwanda, Kigali, Rwanda.
Samantha L RosmanDivision of Emergency Medicine, Boston Children's Hospital, Boston, USA.
Natalie McCallDepartment of Pediatrics, Yale University, New Haven, USA.
Stephan W WegerichphysIQ, Inc., Chicago, USA.
Adam C LevineDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCritical care capabilities needed for the management of septic patients, such as continuous vital sign monitoring, are largely unavailable in most emergency departments (EDs) in low- and middle-income country (LMIC) settings. This study aimed to assess the feasibility and accuracy of using a wireless wearable biosensor device for continuous vital sign monitoring in ED patients with suspected sepsis in an LMIC setting.

methodsThis was a prospective observational study of pediatric (≥2 mon) and adult patients with suspected sepsis at the Kigali University Teaching Hospital ED. Heart rate, respiratory rate and temperature measurements were continuously recorded using a wearable biosensor device for the duration of the patients' ED course and compared to intermittent manually collected vital signs.

resultsA total of 42 patients had sufficient data for analysis. Mean duration of monitoring was 32.8 h per patient. Biosensor measurements were strongly correlated with manual measurements for heart rate (r = 0.87,

conclusionsWearable biosensor devices can be feasibly implemented and provide accurate continuous heart rate and respiratory rate monitoring in acutely ill pediatric and adult ED patients with sepsis in an LMIC setting.

Indexed as

biosensorcontinuous vital signscritical careemergency medicinelow- and middle-income countryresource-limitedRwandaSepsiswearable devicewearable technology

Identifiers

PMID31632685
PMCPMC6769214

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.