Key result
Contactless radar-based heart rate monitoring demonstrated high agreement with conventional ECG in palliative care patients, with 92.67% of overnight measurements falling within ± 5 bpm of the ECG ground truth.
Why the study?
Continuous HR monitoring is underutilised in palliative care due to concerns about disrupting communication and social engagement, despite its potential value.
Does contactless radar-based heart rate monitoring accurately estimate heart rate compared to conventional ECG in palliative care patients?
Observational (n=34)
No
Does contactless radar-based heart rate monitoring accurately estimate heart rate compared to conventional ECG in palliative care patients?
Contactless radar-based heart rate monitoring shows high agreement with conventional ECG in palliative care patients, offering a burden-free alternative for continuous monitoring.
May enable burden-free HR monitoring in palliative care; hypothesis-generating, needs prospective validation before adoption.
BACKGROUND: Heart rate (HR) monitoring is a medical standard to provide information about a patient's health status. In palliative care, relationship and social engagement are crucial therapeutic concepts. For fear of disrupting communication, social contact, and care, continuous HR monitoring is underutilised despite its potential to inform on symptom burden and therapeutic effects. This study investigates radar-based HR monitoring as an innovative and burden-free approach for palliative care patients, compares its accuracy with conventional ECG methods, and shows potential for therapeutic guidance. METHODS: Monitor (TFM)-based ECG validation recordings (study arm II, one hour). In addition, long-term radar measurements without validation were analysed in comparison with clinical health records (study arm III). RESULTS: Both validation methods showed correlation by scatter plot, modified Bland-Altman plot, and equivalence testing. N = 34 patients participated in study arm I. HR of 4,079 five-minute intervals was analysed. Radar measurements and ECG showed high agreement: difference of HRs was within [Formula: see text]5 bpm in 3780 of 4079 (92.67%) and within ±13.4 bpm ([Formula: see text]1.96 times the SD of the mean) in 3979 (97.55%) intervals, respectively. In study arm II, n = 19 patients participated. 57,048 heart beats were analysed. The HR difference was within [Formula: see text]5 bpm for 53,583 out of 57,048 beats (93.93%) and within [Formula: see text]8.2 bpm ( ± 1.96 times the SD of the mean) in 55,439 beats (97.25%), respectively. Arm III showed HR changes extracted from radar data in correlation with symptoms and treatment. CONCLUSION: Radar-based HR monitoring shows a high agreement in comparison with ECG-based HR monitoring and thus offers an option for continuous and above all burden-free HR assessment, with the potential for use in symptom management in palliative care, among others. Further research and technological advancements are still necessary to fully realize this innovative approach in enhancing palliative care practices.
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Grießhammer et al. (2024) conducted an observational in Palliative care patients with life-threatening illnesses (n=34). Contactless radar-based heart rate monitoring vs. Holter ECG and Task Force Monitor (TFM) ECG was evaluated on Agreement of heart rate measurements between radar and ECG (difference within ± 5 bpm) (92.67% of intervals within ± 5 bpm, p=<0.001). Contactless radar-based heart rate monitoring demonstrated high agreement with conventional ECG in palliative care patients, with 92.67% of overnight measurements falling within ± 5 bpm of the ECG ground truth.
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