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Updated: Jul 24, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
A comprehensive wireless neurological and cardiopulmonary monitoring platform for pediatrics
Jeremy N Wong1,2, Jessica R Walter3, Erin C Conrad4
1Epilepsy Center, Division of Pediatric Neurology, Lurie Children's Hospital of Chicago, Chicago, Illinois, United States of America.
Insights
This study introduces ANNE EEG, a wearable platform for multimodal neurodevelopmental monitoring. The system enables accurate electroencephalography (EEG) in natural settings, improving health equity for children.
Area of Science:
- Neuroscience and Biomedical Engineering
- Pediatric Health Monitoring
- Health Technology Assessment
Background:
- Early neurodevelopment is critical for lifelong functional potential.
- Health disparities impact access to neurodevelopmental monitoring in underserved populations.
- Non-clinical, wearable solutions can address these health inequalities.
Purpose of the Study:
- To introduce and evaluate the ANNE EEG system, an extension of the ANNE wireless monitoring platform.
- To assess the feasibility and accuracy of multimodal neurodevelopmental monitoring using ANNE EEG in diverse settings.
- To gauge parental preference and perceived impact of the wearable system on child well-being.
Main Methods:
- Integration of 16-channel electroencephalography (EEG) with existing ANNE platform (ECG, respiration, SpO2, motion, temperature).
- Multi-center pilot study involving 91 neonatal and pediatric patients in academic and low- and middle-income country (LMIC) settings.
- Utilized widely available mobile devices for real-time control and streaming, with low-cost consumables and wearable operation.
Main Results:
- Successfully collected ANNE EEG data, demonstrating practicality and feasibility in diverse clinical and LMIC environments.
- Achieved high accuracy in electroencephalography studies, validated against gold standard systems using quantitative and qualitative metrics.
- Overwhelming majority of parents preferred the wireless system and believed it would improve their children's health.
Conclusions:
- The ANNE EEG system offers a practical, accurate, and wearable solution for multimodal neurodevelopmental monitoring.
- This technology has the potential to enhance health equity by enabling monitoring outside traditional clinical settings.
- Findings support the ANNE system's utility for screening neurologic diseases impacting neurodevelopment.
Abstract:
Neurodevelopment in the first 10 years of life is a critical time window during which milestones that define an individual's functional potential are achieved. Comprehensive multimodal neurodevelopmental monitoring is particularly crucial for socioeconomically disadvantaged, marginalized, historically underserved and underrepresented communities as well as medically underserved areas. Solutions designed for use outside the traditional clinical environment represent an opportunity for addressing such health inequalities. In this work, we present an experimental platform, ANNE EEG, which adds 16-channel cerebral activity monitoring to the existing, USA FDA-cleared ANNE wireless monitoring platform which provides continuous electrocardiography, respiratory rate, pulse oximetry, motion, and temperature measurements. The system features low-cost consumables, real-time control and streaming with widely available mobile devices, and fully wearable operation to allow a child to remain in their naturalistic environment. This multi-center pilot study successfully collected ANNE EEG recordings from 91 neonatal and pediatric patients at academic quaternary pediatric care centers and in LMIC settings. We demonstrate the practicality and feasibility to conduct electroencephalography studies with high levels of accuracy, validated via both quantitative and qualitative metrics, compared against gold standard systems. An overwhelming majority of parents surveyed during studies indicated not only an overall preference for the wireless system, but also that its use would improve their children's physical and emotional health. Our findings demonstrate the potential for the ANNE system to perform multimodal monitoring to screen for a variety of neurologic diseases that have the potential to negatively impact neurodevelopment.
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