Accuracy and Systematic Biases of Heart Rate Measurements by Consumer-Grade Fitness Trackers in Postoperative Patients: Prospective Clinical Trial.

Abstract

Background: Over the recent years, technological advances of wrist-worn fitness trackers heralded a new era in the continuous monitoring of vital signs. So far, these devices have primarily been used for sports.

Objective: However, for using these technologies in health care, further validations of the measurement accuracy in hospitalized patients are essential but lacking to date.

Methods: We conducted a prospective validation study with 201 patients after moderate to major surgery in a controlled setting to benchmark the accuracy of heart rate measurements in 4 consumer-grade fitness trackers (Apple Watch 7, Garmin Fenix 6 Pro, Withings ScanWatch, and Fitbit Sense) against the clinical gold standard (electrocardiography).

Results: All devices exhibited high correlation (r≥0.95; P<.001) and concordance (rc≥0.94) coefficients, with a relative error as low as mean absolute percentage error <5% based on 1630 valid measurements. We identified confounders significantly biasing the measurement accuracy, although not at clinically relevant levels (mean absolute error<5 beats per minute).

Conclusions: Consumer-grade fitness trackers appear promising in hospitalized patients for monitoring heart rate.


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Titel Accuracy and Systematic Biases of Heart Rate Measurements by Consumer-Grade Fitness Trackers in Postoperative Patients: Prospective Clinical Trial.
Medien Journal of Medical Internet Research
Verlag ---
Heft ---
Band 24(12)
ISBN 1438-8871
Verfasser/Herausgeber Philipp Helmer, Sebastian Hottenrott, Philipp Rodemers, Robert Leppich, Maja Helwich, Rüdiger Pryss, Peter Kranke, Patrick Meybohm, Bernd E Winkler, Prof. Dr. Michael Sammeth
Seiten ---
Veröffentlichungsdatum 2022-12-30
Projekttitel ---
Zitation Helmer, Philipp; Hottenrott, Sebastian; Rodemers, Philipp; Leppich, Robert; Helwich, Maja; Pryss, Rüdiger; Kranke, Peter; Meybohm, Patrick; Winkler, Bernd E; Sammeth, Michael (2022): Accuracy and Systematic Biases of Heart Rate Measurements by Consumer-Grade Fitness Trackers in Postoperative Patients: Prospective Clinical Trial.. Journal of Medical Internet Research 24(12), e42359. DOI: 10.2196/42359