Key result
Interpolation methods significantly improve photoplethysmography inter-beat interval accuracy at low sampling rates.
Why the study?
Wearable PPG devices use low sampling rates to limit power consumption, requiring methods to compensate for discretization errors in inter-beat intervals and evaluate how breath-extraction algorithms perform at reduced sampling rates.
Do parabola and cubic-spline interpolation methods improve the accuracy of inter-beat intervals extracted from low-sampling rate PPG signals compared to standard ECG?
Observational (n=8)
No
Do parabola and cubic-spline interpolation methods improve the accuracy of inter-beat intervals extracted from low-sampling rate PPG signals compared to standard ECG?
p-value: p=<0.001
Parabola and cubic-spline interpolations effectively improve the accuracy of inter-beat intervals derived from low-sampling rate PPG signals, facilitating reliable continuous monitoring from wearable devices.
The increasingly widespread diffusion of wearable devices makes possible the continuous monitoring of vital signs, such as heart rate (HR), heart rate variability (HRV), and breath signal. However, these devices usually do not record the "gold-standard" signals, namely the electrocardiography (ECG) and respiratory activity, but a single photoplethysmographic (PPG) signal, which can be exploited to estimate HR and respiratory activity. In addition, these devices employ low sampling rates to limit power consumption. Hence, proper methods should be adopted to compensate for the resulting increased discretization error, while diverse breath-extraction algorithms may be differently sensitive to PPG sampling rate. Here, we assessed the efficacy of parabola interpolation, cubic-spline, and linear regression methods to improve the accuracy of the inter-beat intervals (IBIs) extracted from PPG sampled at decreasing rates from 64 to 8 Hz. PPG-derived IBIs and HRV indices were compared with those extracted from a standard ECG. In addition, breath signals extracted from PPG using three different techniques were compared with the gold-standard signal from a thoracic belt. Signals were recorded from eight healthy volunteers during an experimental protocol comprising sitting and standing postures and a controlled respiration task. Parabola and cubic-spline interpolation significantly increased IBIs accuracy at 32, 16, and 8 Hz sampling rates. Concerning breath signal extraction, the method holding higher accuracy was based on PPG bandpass filtering. Our results support the efficacy of parabola and spline interpolations to improve the accuracy of the IBIs obtained from low-sampling rate PPG signals, and also indicate a robust method for breath signal extraction.
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Reali et al. (2022) conducted an observational in Healthy (n=8). Parabola and cubic-spline interpolation of PPG signals vs. Non-interpolated PPG signals and gold-standard ECG was evaluated on Accuracy of inter-beat intervals (IBIs) measured as absolute error compared to ECG (p=<0.001). Parabola and cubic-spline interpolation significantly increased the accuracy of inter-beat intervals extracted from photoplethysmographic signals at low sampling rates of 32, 16, and 8 Hz.
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