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- Title
Measurement accuracy of a microwave doppler sensor beneath the mattress as a continuous respiratory rate monitor: a method comparison study.
- Authors
Tanaka, Hiroyuki; Yokose, Masashi; Takaki, Shunsuke; Mihara, Takahiro; Saigusa, Yusuke; Goto, Takahisa
- Abstract
Purpose: Non-contact continuous respiratory rate monitoring is preferred for early detection of patient deterioration. However, this technique is under development; a gold standard respiratory monitor has not been established. Therefore, this prospective observational method comparison study aimed to compare the measurement accuracy of a non-contact continuous respiratory rate monitor, a microwave Doppler sensor positioned beneath the mattress, with that of other monitors. Methods: The respiratory rate of intensive care unit patients was simultaneously measured using a microwave Doppler sensor, capnography, thoracic impedance pneumography, and a piezoelectric sensor beneath the mattress. Bias and 95% limits of agreement between the respiratory rate measured using capnography (standard reference) and that measured using the other three methods were calculated using Bland–Altman analysis for repeated measures. Clarke error grid (CEG) analysis evaluated the sensor's ability to assist in correct clinical decision-making. Results: Eighteen participants were included, and 2,307 data points were analyzed. The bias values (95% limits of agreement) of the microwave Doppler sensor, thoracic impedance pneumography, and piezoelectric sensor were 0.2 (− 4.8 to 5.2), 1.5 (− 4.4 to 7.4), and 0.4 (− 4.0 to 4.8) breaths per minute, respectively. Clinical decisions evaluated using CEG analyses were correct 98.1% of the time for the microwave Doppler sensor, which was similar to the performance of the other devices. Conclusion: The microwave Doppler sensor had a small bias but relatively low precision, similar to other devices. In CEG analyses, the risk of each monitor leading to inadequate clinical decision-making was low. Trial registration number: : UMIN000038900, February 1, 2020.
- Subjects
MATTRESSES; VENTILATION monitoring; MICROWAVE devices; MICROWAVE measurements; INTENSIVE care patients; PIEZOELECTRIC detectors; POSITION sensors
- Publication
Journal of Clinical Monitoring & Computing, 2024, Vol 38, Issue 1, p77
- ISSN
1387-1307
- Publication type
Article
- DOI
10.1007/s10877-023-01081-7