Observational studyScientific reports2020
Wireless monitoring and real-time adaptive predictive indicator of deterioration.
Observational study in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of wearable continuous vital sign monitoring on deterioration detection and clinical outcomes in hospitalised patients: a systematic review and meta-analysis.Critical care (London, England) · 2021Pooled it
- Agreement and Performance of Intermittent and Continuous Vital Signs in Critically Ill Children.Hospital pediatrics · 2026Article
- Artificial intelligence in intensive care units: a scoping review addressing the translational gap to clinical practice.Korean journal of anesthesiology · 2026Article
- From scores to signals: evolution and innovations in pediatric early warning systems.Acute and critical care · 2026Article
- Noninvasive Measurement of Infant Respiration During Sleep: A Validation Study.Sensors (Basel, Switzerland) · 2026Article
- Wearable Devices in Healthcare Beyond the One-Size-Fits All Paradigm.Sensors (Basel, Switzerland) · 2025Review
- A retrospective cross-sectional study showing wearable smartwatches enhance patient safety and efficiency in the intensive care unit.Communications medicine · 2025Article
- Comparison of consistency between wireless and conventional wired monitoring systems in gastrointestinal endoscopy.Scientific reports · 2025Article
- A novel digital health approach to improving global pediatric sepsis care in Bangladesh using wearable technology and machine learning.PLOS digital health · 2024Article
- Use of Artificial Intelligence in Improving Outcomes in Heart Disease: A Scientific Statement From the American Heart Association.Circulation · 2024Review
- ScalableDigitalHealth (SDH): An IoT-Based Scalable Framework for Remote Patient Monitoring.Sensors (Basel, Switzerland) · 2024Article
- Early detection of deteriorating patients in general wards through continuous contactless vital signs monitoring.Frontiers in medical technology · 2024Article
- Acute paediatrics tele-support for caregivers in Singapore: an initial experience with a prototype Chatbot: UPAL.Singapore medical journal · 2023Article
- Continuous Vital Signs Monitoring in Patients Hospitalized at Home: Burden or Benefit?Journal of the American Medical Directors Association · 2023Article
- Wireless monitoring devices in hospitalized children: a scoping review.European journal of pediatrics · 2023Article
- Novel approaches to capturing and using continuous cardiorespiratory physiological data in hospitalized children.Pediatric research · 2023Review
- Parents' experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study.Frontiers in pediatrics · 2022Article
- A data-driven performance dashboard for surgical dissection.Scientific reports · 2021Article
- Wearable remote monitoring for patients with COVID-19 in low-resource settings: case study.BMJ innovations · 2021Article
- Vital sign monitoring using wearable devices in a Vietnamese intensive care unit.BMJ innovations · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
To assist in the early warning of deterioration in hospitalised children we studied the feasibility of collecting continuous wireless physiological data using Lifetouch (ECG-derived heart and respiratory rate) and WristOx2 (pulse-oximetry and derived pulse rate) sensors. We compared our bedside paediatric early warning (PEW) score and a machine learning automated approach: a Real-time Adaptive Predictive Indicator of Deterioration (RAPID) to identify children experiencing significant clinical deterioration. 982 patients contributed 7,073,486 min during 1,263 monitoring sessions. The proportion of intended monitoring time was 93% for Lifetouch and 55% for WristOx2. Valid clinical data was 63% of intended monitoring time for Lifetouch and 50% WristOx2. 29 patients experienced 36 clinically significant deteriorations. The RAPID Index detected significant deterioration more frequently (77% to 97%) and earlier than the PEW score ≥ 9/26. High sensitivity and negative predictive value for the RAPID Index was associated with low specificity and low positive predictive value. We conclude that it is feasible to collect clinically valid physiological data wirelessly for 50% of intended monitoring time. The RAPID Index identified more deterioration, before the PEW score, but has a low specificity. By using the RAPID Index with a PEW system some life-threatening events may be averted.
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Registered trials
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.