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Multi-Modal Portable Respiratory Rate Monitoring Device for Childhood Pneumonia Detection
Sadeque Reza Khan1, Xiaohan Wang2, Tiantao Jiang2
1School of Engineering and Physical Sciences, Institute of Sensors, Signals and Systems, Heriot-Watt University, Edinburgh EH14 4AS, UK.
Insights
This study introduces a novel textile glove device for accurately measuring respiratory rate (RR) in infants, crucial for diagnosing pneumonia in low-resource settings. The non-invasive, wearable technology offers a reliable alternative to manual methods, improving pediatric healthcare accessibility.
Area of Science:
- Biomedical Engineering
- Medical Devices
- Pediatric Health
Background:
- Accurate respiratory rate (RR) assessment is critical for diagnosing pneumonia, a leading cause of mortality in young children, particularly in low- and middle-income countries (LMIC).
- Manual RR measurement is challenging in clinical settings due to infant distress, crying, and the need for calm cooperation, leading to potential errors and misdiagnosis.
- Existing diagnostic methods for infant pneumonia in resource-limited settings are often inadequate, highlighting the need for innovative, accessible solutions.
Purpose of the Study:
- To develop and evaluate a novel, non-invasive, wearable device for automated respiratory rate (RR) monitoring in infants.
- To provide an accurate and reliable method for RR assessment in low-resource settings, aiding in the early detection of pneumonia.
- To create a user-friendly system that can be easily operated by caregivers and integrated into mobile health (mHealth) platforms.
Main Methods:
- Development of a textile glove integrated with dry electrodes and multi-modal sensors (bio-impedance and accelerometer) for automated RR detection.
- Utilizing the relaxed posture of a child on a carer's lap for data acquisition, ensuring non-invasive measurement.
- Real-time data display and RR value output via a mobile application for remote monitoring by healthcare professionals.
Main Results:
- The prototype device demonstrated a maximum variation of ±2 breaths per minute compared to traditional manual counting methods across 10 volunteers aged 3-33 years.
- The system is non-invasive, comfortable for both child and carer, and washable.
- The device supports 60-70 sessions per day on a single charge, indicating practical utility for frequent use.
Conclusions:
- The novel textile glove-based RR monitoring device offers a promising, accurate, and accessible solution for diagnosing pneumonia in infants, especially in low-resource environments.
- The wearable, non-invasive technology enhances the reliability of RR measurements, overcoming limitations of manual methods.
- This innovation has the potential to significantly improve pediatric healthcare outcomes by enabling timely and accurate pneumonia detection through mHealth integration.
Abstract:
Accurate assessment of Respiratory Rate (RR) is the most important mechanism in detecting pneumonia in low-resource settings. Pneumonia is a disease with one of the highest mortality rates among young children under five. However, the diagnosis of pneumonia for infants remains challenging, especially in low- and middle-income countries (LMIC). In such situations, RR is most often measured manually with visual inspection. Accurate RR measurement requires the child to remain calm without any stress for a few minutes. The difficulty in achieving this with a sick child in a clinical environment can result in errors and misdiagnosis, even more so when the child is crying and non-cooperating around unfamiliar adults. Therefore, we propose an automated novel RR monitoring device built with textile glove and dry electrodes which can make use of the relaxed posture when the child is resting on the carer's lap. This portable system is non-invasive and made with affordable instrumentation integrated on customized textile glove. The glove has multi-modal automated RR detection mechanism that simultaneously uses bio-impedance and accelerometer data. This novel textile glove with dry electrodes can easily be worn by a parent/carer and is washable. The real-time display on a mobile app shows the raw data and the RR value, allowing a healthcare professional to monitor the results from afar. The prototype device has been tested on 10 volunteers with age variation of 3 years to 33 years, including male and female. The maximum variation of measured RR with the proposed system is ±2 compared to the traditional manual counting method. It does not create any discomfort for either the child or the carer and can be used up to 60 to 70 sessions/day before recharging.
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