An openly available wearable, a diaper cover, monitors infant's respiration and position during rest and sleep

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Ranta , J , Ilén , E , Palmu , K , Salama , J , Roienko , O & Vanhatalo , S 2021 , ' An openly available wearable, a diaper cover, monitors infant's respiration and position during rest and sleep ' , Acta Paediatrica , vol. 110 , no. 10 , pp. 2766-2771 . https://doi.org/10.1111/apa.15996

Title: An openly available wearable, a diaper cover, monitors infant's respiration and position during rest and sleep
Author: Ranta, Jukka; Ilén, Elina; Palmu, Kirsi; Salama, Jonna; Roienko, Oleksii; Vanhatalo, Sampsa
Contributor organization: Children's Hospital
HUS Children and Adolescents
Helsinki University Hospital Area
University of Helsinki
HUS Medical Imaging Center
Kliinisen neurofysiologian yksikkö
Clinicum
Department of Neurosciences
HUS Neurocenter
Date: 2021-10
Language: eng
Number of pages: 6
Belongs to series: Acta Paediatrica
ISSN: 0803-5253
DOI: https://doi.org/10.1111/apa.15996
URI: http://hdl.handle.net/10138/337599
Abstract: Aim To describe and test the accuracy of respiratory rate assessment in long-term surveillance using an open-source infant wearable, NAPping PAnts (NAPPA). Methods We recorded 24 infants aged 1-9 months using our newly developed infant wearable that is a diaper cover with an integrated programmable electronics with accelerometer and gyroscope sensors. The sensor collects child's respiration rate (RR), activity and body posture in 30-s epochs, to be downloaded afterwards into a mobile phone application. An automated RR quality measure was also implemented using autocorrelation function, and the accuracy of RR estimate was compared with a reference obtained from the simultaneously recorded capnography signal that was part of polysomnography recordings. Results Altogether 88 h 27 min of data were recorded, and 4147 epochs (39% of all data) were accepted after quality detection. The median of patient wise mean absolute errors in RR estimates was 1.5 breaths per minute (interquartile range 1.1-2.6 bpm), and the Blandt-Altman analysis indicated an RR bias of 0.0 bpm with the 95% limits of agreement of -5.7-5.7 bpm. Conclusion Long-term monitoring of RR and posture can be done with reasonable accuracy in out-of-hospital settings using NAPPA, an openly available infant wearable.
Description: cited By 0
Subject: AGREEMENT
CHILDREN
PNEUMONIA
RATE COUNTERS
home monitoring
infant sleep
medical wearable
respiratory rate
sleep monitoring
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: publishedVersion


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