Evidence map›Paper›PMID 34168684›Full record

ArticleBiomedical signal processing and control2021

An impedance pneumography signal quality index: Design, assessment and application to respiratory rate monitoring.

Peter H Charlton, Timothy Bonnici, Lionel Tarassenko, David A Clifton, Richard Beale, Peter J Watkinson, Jordi Alastruey

Abstract read
In one paragraph

Article in Biomedical signal processing and control, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Trial
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  8. Emerging Wearable Acoustic Sensing Technologies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  9. Article
  10. Video-Based Respiratory Rate Estimation for Infants in the NICU.IEEE journal of translational engineering in health and medicine · 2024
    Article
  11. Article
  12. Laser spectroscopic method for remote sensing of respiratory rate.Physical and engineering sciences in medicine · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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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

7 authors.

Peter H CharltonDepartment of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, London SE1 7EH, UK.
Timothy BonniciDepartment of Asthma, Allergy and Lung Biology, King's College London, King's Health Partners, London SE1 7EH, UK.
Lionel TarassenkoInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford OX3 7DQ, UK.
David A CliftonInstitute of Biomedical Engineering, Department of Engineering Science, University of Oxford, Oxford OX3 7DQ, UK.
Richard BealeDepartment of Asthma, Allergy and Lung Biology, King's College London, King's Health Partners, London SE1 7EH, UK.
Peter J WatkinsonKadoorie Centre for Critical Care Research and Education, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK.
Jordi AlastrueyDepartment of Biomedical Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, London SE1 7EH, UK.

Funding

Wellcome Trust 088641Wellcome Trust 203148
6 · The paper itself

Abstract

Impedance pneumography (ImP) is widely used for respiratory rate (RR) monitoring. However, ImP-derived RRs can be imprecise. The aim of this study was to develop a signal quality index (SQI) for the ImP signal, and couple it with a RR algorithm, to improve RR monitoring. An SQI was designed which identifies candidate breaths and assesses signal quality using: the variation in detected breath durations, how well peaks and troughs are defined, and the similarity of breath morphologies. The SQI categorises 32 s signal segments as either high or low quality. Its performance was evaluated using two critical care datasets. RRs were estimated from high-quality segments using a RR algorithm, and compared with reference RRs derived from manual annotations. The SQI had a sensitivity of 77.7 %, and specificity of 82.3 %. RRs estimated from segments classified as high quality were accurate and precise, with mean absolute errors of 0.21 and 0.40 breaths per minute (bpm) on the two datasets. Clinical monitor RRs were significantly less precise. The SQI classified 34.9 % of real-world data as high quality. In conclusion, the proposed SQI accurately identifies high-quality segments, and RRs estimated from those segments are precise enough for clinical decision making. This SQI may improve RR monitoring in critical care. Further work should assess it with wearable sensor data.

Indexed as

Breathing ratePatient monitoringSignal processingThoracic impedance

Identifiers

PMID34168684
PMCPMC7611038

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.