Evidence map›Paper›PMID 40293779›Full record

ArticleJMIR research protocols2025

Vital Sign and Biochemical Data Collection Using Non-contact Photoplethysmography and the Comestai Mobile Health App: Protocol for an Observational Study.

Gianvincenzo Zuccotti, Paolo Osvaldo Agnelli, Lucia Labati, Erika Cordaro, Davide Braghieri, Simone Balconi, Marco Xodo, Fabrizio Losurdo, Cesare Celeste Federico Berra, Roberto Franco Enrico Pedretti and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06427564 (Vital Signs Data Collection Using "Comestai" Application), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06427564 recruitingnot on this map

Vital Signs Data Collection Using "Comestai" Application

TypeobservationalSponsorBuzzi Children's HospitalRan2024 to 2026Enrolled3,000ConditionsVital Signs
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
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

13 authors.

Gianvincenzo ZuccottiDepartment of Biomedical and Clinical Science, University of Milano, Milano, Italy.ORCID 0000-0002-2795-9874
Paolo Osvaldo AgnelliCome Stai S.p.A, Milano, Italy.ORCID 0009-0007-1378-4798
Lucia LabatiPediatric Department, Buzzi Children's Hospital, Milano, Italy.ORCID 0009-0001-4190-6234
Erika CordaroPediatric Department, Buzzi Children's Hospital, Milano, Italy.ORCID 0000-0001-6634-9254
Davide BraghieriPediatric Department, Buzzi Children's Hospital, Milano, Italy.ORCID 0009-0000-6418-1371
Simone BalconiPediatric Department, Buzzi Children's Hospital, Milano, Italy.ORCID 0009-0005-3323-8992
Marco XodoCome Stai S.p.A, Milano, Italy.ORCID 0009-0008-6268-3237
Fabrizio LosurdoDepartment of Biomedical and Clinical Science, University of Milano, Milano, Italy.ORCID 0000-0001-5851-7764
Cesare Celeste Federico BerraDiabetology and Endocrinology Unit, Istituto di Ricovero e Cura a Carattere Scientifico MultiMedica, Milano, Italy.ORCID 0000-0001-8431-8160
Roberto Franco Enrico PedrettiCardiac Rehabilitation Unit, Istituto di Ricovero e Cura a Carattere Scientifico MultiMedica, Milano, Italy.ORCID 0000-0003-1789-8657
Paolo FiorinaDepartment of Biomedical and Clinical Science, University of Milano, Milano, Italy.ORCID 0000-0002-1093-7724
Sergio Maria De PasqualeCome Stai S.p.A, Milano, Italy.ORCID 0009-0007-8035-3904
Valeria CalcaterraPediatric Department, Buzzi Children's Hospital, Milano, Italy.ORCID 0000-0002-2137-5974

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of vital sign changes is key to recognizing patient deterioration promptly, enabling timely interventions and potentially preventing adverse outcomes.

objectiveIn this study, vital parameters (heart rate, respiratory rate, oxygen saturation, and blood pressure) will be measured using the Comestai app to confirm the accuracy of photoplethysmography methods compared to standard clinical practice devices, analyzing a large and diverse population. In addition, the app will facilitate big data collection to enhance the algorithm's performance in measuring hemoglobin, glycated hemoglobin, and total cholesterol.

methodsA total of 3000 participants will be consecutively enrolled to achieve the objectives of this study. In all patients, personal data, medical condition, and treatment overview will be recorded. The "by face" method for remote photoplethysmography vital sign data collection involves recording participants' faces using the front camera of a mobile device (iOS or Android) for approximately 1.5 minutes. Simultaneously, vital signs will be continuously collected for about 1.5 minutes using the reference devices alongside data collected via the Comestai app; biochemical results will also be recorded. The accuracy of the app measurements compared to the reference devices and standard tests will be assessed for all parameters. CIs will be calculated using the bootstrap method. The proposed approach's effectiveness will be evaluated using various quality criteria, including the mean error, SD, mean absolute error, root mean square error, and mean absolute percentage error. The correlation between measurements obtained using the app and reference devices and standard tests will be evaluated using the Pearson correlation coefficient. Agreement between pairs of measurements (app vs reference devices and standard tests) will be represented using Bland-Altman plots. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and likelihood ratios will be calculated to determine the ability of the new app to accurately measure vital signs.

resultsData collection began in June 2024. As of March 25, 2025, we have recruited 1200 participants. The outcomes of the study are expected at the end of 2025. The analysis plan involves verifying and validating the parameters collected from mobile devices via the app, reference devices, and prescheduled blood tests, along with patient demographic data.

conclusionsOur study will enhance and support the accuracy of data on vital sign detection through PPG, also introducing measurements of biochemical risk indicators. The evaluation of a large population will allow for continuous improvement in the performance and accuracy of artificial intelligence algorithms, reducing errors. Expanding research on mobile health solutions like Comestai can support preventive care by validating their effectiveness as screening tools and guiding future health care technology developments.

trial registrationClinicalTrials.gov NCT06427564; https://clinicaltrials.gov/study/NCT06427564.

Indexed as

Data CollectionMobile ApplicationsPhotoplethysmographyVital SignsAdultAlgorithmsFemaleHeart RateHumansMaleMiddle AgedObservational Studies as TopicRespiratory RateTelemedicinebiochemical dataComestaidata accuracydetectionmHealthmobile appmonitoringnon-contact photoplethysmographyscreeningvital sign measurement

Identifiers

PMID40293779
PMCPMC12083408

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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.