Continuous Remote Patient Monitoring Shows Early Cardiovascular Changes in COVID-19 Patients.

Area of Science:

• Cardiology
• Pulmonology
• Infectious Diseases
• Medical Technology

Background:

• COVID-19 significantly impacts cardiopulmonary systems, worsening patient prognosis.
• Continuous remote patient monitoring (RPM) offers a novel approach to track vital signs in hospitalized patients.

Purpose of the Study:

• To analyze vital sign trajectories in COVID-19 patients using chest-patch wearable technology.
• To assess the early detection capabilities of RPM for cardiovascular deterioration in COVID-19.

Main Methods:

• Retrospective, multi-center observational cohort study involving 492 hospitalized COVID-19 patients.
• Continuous remote patient monitoring of physiological parameters (heart rate, blood pressure, cardiac output, respiratory rate, SpO2, temperature) every 15 minutes.
• Analysis of over 3 million data points collected via chest-patch wearable devices.

Main Results:

• Cardiovascular deterioration was observed early after admission in COVID-19 patients.
• Changes in cardiovascular parameters occurred in parallel with respiratory parameter changes.
• Significant differences in vital sign trajectories were identified in high-risk patient sub-populations.

Conclusions:

• Frequent remote patient monitoring enables early detection of cardiovascular deterioration in COVID-19 patients.
• RPM facilitates the identification of at-risk individuals, potentially improving clinical outcomes.
• Wearable technology integrated with continuous monitoring is valuable in managing severe COVID-19 cases.