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Vital signs continuously monitored by two wearable devices in pediatric oncology patients, NCT04914702
Lukas Farner1, Christa König1, Jochen Rössler1
1Pediatric Hematology/Oncology, Department of Pediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Insights
Continuous temperature monitoring using wearable devices shows promise for early fever detection in pediatric cancer patients undergoing chemotherapy. This approach may improve outcomes for fever in neutropenia episodes.
Area of Science:
- Oncology
- Biomedical Engineering
- Pediatrics
Background:
- Fever in neutropenia is a serious complication in pediatric cancer patients undergoing chemotherapy.
- Early detection of fever is crucial for timely intervention and improved patient outcomes.
- Continuous monitoring offers a potential advancement over intermittent temperature measurements.
Purpose of the Study:
- To evaluate the feasibility of continuous temperature monitoring using wearable devices in pediatric cancer patients.
- To assess the data quality and usability of two specific wearable devices (CORE® and Everion®).
- To explore the potential of wearable devices for early fever detection in this vulnerable population.
Main Methods:
- Prospective, two-center, observational, proof-of-concept study.
- Recruitment of pediatric patients undergoing chemotherapy for cancer.
- 14-day continuous monitoring with CORE® and Everion® wearable devices, recording core temperature and other vital signs.
- Collection of non-wearable data including acceptability, side effects, and intermittent ear temperature measurements.
Main Results:
- Extensive data collected: 4945 hours (CORE®) and 5360 hours (Everion®).
- Over 6 million vital sign and health score measurements recorded across both devices.
- Data generated for evaluating device acceptability, usability, compliance, and data quality.
Conclusions:
- Continuous temperature monitoring with wearable devices is feasible in pediatric cancer patients undergoing chemotherapy.
- The collected data supports further research into the utility of CORE® and Everion® for fever detection and vital sign monitoring.
- Wearable technology holds potential for improving the management of fever in neutropenia episodes in pediatric oncology.
Abstract:
Continuous temperature monitoring with wearable devices may lead to earlier fever detection. This may improve the outcome of fever in neutropenia episodes in pediatric patients with cancer. This prospective two-center observational and proof-of-concept study recruited pediatric patients undergoing chemotherapy for cancer. Two different wearable devices (WDs), the CORE® and the Everion®, were worn for 14 days to continuously record multiple vital signs. Both WDs record core temperature and its quality score. Everion® records 17 further vital signs or health scores. All measurements resulted in 4945 (CORE®) and 5360 hours (Everion®) of data. Combined, 6'085'943 measurements of vital signs and health scores were recorded. In addition, non-WD data such as acceptability, side effects and discrete ear temperature measurements were collected. The described methods and resulting data can be reused to study acceptability, usability, compliance, and data quality of the CORE® and Everion® devices in pediatric patients. Additionally, these methods and data can be utilized to study vital signs in pediatric patients undergoing chemotherapy for cancer.
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