Evidence map›Paper›PMID 34768722›Full record

ArticleJournal of clinical medicine2021

Exploring Early Pre-Symptomatic Detection of Influenza Using Continuous Monitoring of Advanced Physiological Parameters during a Randomized Controlled Trial.

Nir Goldstein, Arik Eisenkraft, Carlos J Arguello, Ge Justin Yang, Efrat Sand, Arik Ben Ishay, Roei Merin, Meir Fons, Romi Littman, Dean Nachman and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
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

11 authors.

Nir GoldsteinDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel-Aviv University, Tel-Aviv 6997801, Israel.
Arik EisenkraftBiobeat Technologies LTD, Petah Tikva 4951122, Israel.ORCID 0000-0002-9368-3490
Carlos J ArguelloLeidos, Reston, VA 20190, USA.
Ge Justin YangDepartment of Health and Human Services, Biomedical Advanced Research and Development Authority (BARDA), Washington, DC 20201, USA.
Efrat SandBiobeat Technologies LTD, Petah Tikva 4951122, Israel.
Arik Ben IshayBiobeat Technologies LTD, Petah Tikva 4951122, Israel.
Roei MerinBiobeat Technologies LTD, Petah Tikva 4951122, Israel.
Meir FonsBiobeat Technologies LTD, Petah Tikva 4951122, Israel.ORCID 0000-0001-5008-4722
Romi LittmanBiobeat Technologies LTD, Petah Tikva 4951122, Israel.
Dean NachmanThe Institute for Research in Military Medicine, The Hebrew University Faculty of Medicine, The Israel Defense Force Medical Corps, Jerusalem 9112102, Israel.
Yftach GepnerDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel-Aviv University, Tel-Aviv 6997801, Israel.ORCID 0000-0002-3128-3539

Funding

Biomedical Advanced Research and Development Authority 75A50119C00035
6 · The paper itself

Abstract

Early detection of influenza may improve responses against outbreaks. This study was part of a clinical study assessing the efficacy of a novel influenza vaccine, aiming to discover distinct, highly predictive patterns of pre-symptomatic illness based on changes in advanced physiological parameters using a novel wearable sensor. Participants were frequently monitored 24 h before and for nine days after the influenza challenge. Viral load was measured daily, and self-reported symptoms were collected twice a day. The Random Forest classifier model was used to classify the participants based on changes in the measured parameters. A total of 116 participants with ~3,400,000 data points were included. Changes in parameters were detected at an early stage of the disease, before the development of symptomatic illness. Heart rate, blood pressure, cardiac output, and systemic vascular resistance showed the greatest changes in the third post-exposure day, correlating with viral load. Applying the classifier model identified participants as flu-positive or negative with an accuracy of 0.81 ± 0.05 two days before major symptoms appeared. Cardiac index and diastolic blood pressure were the leading predicting factors when using data from the first and second day. This study suggests that frequent remote monitoring of advanced physiological parameters may provide early pre-symptomatic detection of flu.

Indexed as

biological outbreakbio-surveillanceinfluenzaphotoplethysmographyphysiological patternsremote patient monitoring

Identifiers

PMID34768722
PMCPMC8584386

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.