Evidence map›Paper›PMID 37430546›Full record

ArticleSensors (Basel, Switzerland)2023

Accuracy of a Smartwatch to Assess Heart Rate Monitoring and Atrial Fibrillation in Stroke Patients.

Claudia Meza, Jesus Juega, Jaume Francisco, Alba Santos, Laura Duran, Maite Rodriguez, Jose Alvarez-Sabin, Laia Sero, Xavier Ustrell, Saima Bashir and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05565781 (Impact of Non-invasive Remote Monitoring Via Wearable Technologies for Detection of Atrial Fibrillation in Patients With Cryptogenic Stroke), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
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.

NCT05565781 narecruitingnot on this map

Impact of Non-invasive Remote Monitoring Via Wearable Technologies for Detection of Atrial Fibrillation in Patients With Cryptogenic Stroke

TypeinterventionalSponsorHospital Universitari Vall d'Hebron Research InstituteRan2022 to 2026Enrolled100ConditionsParoxysmal Atrial Fibrillation, Cryptogenic StrokeArmsECG smartwatch, Insertable Cardiac Monitor (ICM), External ECG Monitoring
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

14 authors at 5 institutions in 1 country.

Claudia MezaStroke Unit, Department of Neurology, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.ORCID 0000-0002-6066-3450
Jesus JuegaStroke Unit, Department of Neurology, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.
Jaume FranciscoVall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain.
Alba SantosVall d'Hebron Institut de Recerca (VHIR), 08035 Barcelona, Spain.ORCID 0000-0003-1435-4283
Laura DuranArrhythmia Unit, Department of Cardiology, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.ORCID 0009-0001-4586-5804
Maite RodriguezStroke Unit, Department of Neurology, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.
Jose Alvarez-SabinStroke Unit, Department of Neurology, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.
Laia SeroDepartment of Neurology, Hospital Universitari Joan XXIII, 43005 Tarragona, Spain.
Xavier UstrellDepartment of Neurology, Hospital Universitari Joan XXIII, 43005 Tarragona, Spain.ORCID 0000-0003-3906-8574
Saima BashirCerebrovascular Pathology Research Group, Girona Biomedical Research Institute (IDIBGI), 17790 Girona, Spain.
Joaquín SerenaCerebrovascular Pathology Research Group, Girona Biomedical Research Institute (IDIBGI), 17790 Girona, Spain.ORCID 0000-0002-4478-7744
Yolanda SilvaCerebrovascular Pathology Research Group, Girona Biomedical Research Institute (IDIBGI), 17790 Girona, Spain.
Carlos MolinaStroke Unit, Department of Neurology, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.
Jorge PagolaStroke Unit, Department of Neurology, Hospital Universitari Vall d'Hebron, 08035 Barcelona, Spain.ORCID 0000-0002-0725-1369
Vall d'Hebron Institut de Recerca · ESInstitut d'Investigació Biomèdica de Girona · ESUniversitat Autònoma de Barcelona · ESHospital Universitari Joan XXIII de Tarragona · ESVall d'Hebron Hospital Universitari · ES

Funding

Instituto de Salud Carlos III Instituto de Salud Carlos III
6 · The paper itself

Abstract

(1) Background: Consumer smartwatches may be a helpful tool to screen for atrial fibrillation (AF). However, validation studies on older stroke patients remain scarce. The aim of this pilot study from RCT NCT05565781 was to validate the resting heart rate (HR) measurement and the irregular rhythm notification (IRN) feature in stroke patients in sinus rhythm (SR) and AF. (2) Methods: Resting clinical HR measurements (every 5 min) were assessed using continuous bedside ECG monitoring (CEM) and the Fitbit Charge 5 (FC5). IRNs were gathered after at least 4 h of CEM. Lin's concordance correlation coefficient (CCC), Bland-Altman analysis, and mean absolute percentage error (MAPE) were used for agreement and accuracy assessment. (3) Results: In all, 526 individual pairs of measurements were obtained from 70 stroke patients-age 79.4 years (SD ± 10.2), 63% females, BMI 26.3 (IQ 22.2-30.5), and NIHSS score 8 (IQR 1.5-20). The agreement between the FC5 and CEM was good (CCC 0.791) when evaluating paired HR measurements in SR. Meanwhile, the FC5 provided weak agreement (CCC 0.211) and low accuracy (MAPE 16.48%) when compared to CEM recordings in AF. Regarding the accuracy of the IRN feature, analysis found a low sensitivity (34%) and high specificity (100%) for detecting AF. (4) Conclusion: The FC5 was accurate at assessing the HR during SR, but the accuracy during AF was poor. In contrast, the IRN feature was acceptable for guiding decisions regarding AF screening in stroke patients.

Indexed as

Atrial FibrillationStrokeAgedAged, 80 and overFemaleHeart Rate DeterminationHumansMalePilot ProjectsRandomized Controlled Trials as Topicaccuracyatrial fibrillationscreeningsmartwatchstrokewearable

Identifiers

PMID37430546
PMCPMC10223397
OpenAlexW4376139640

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.