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January 18, 2023Open Access

The WellFie smartphone app predicted systolic BP, diastolic BP, and heart rate with 93.9%, 92.9%, and 97.3% accuracy respectively compared to certified medical devices in normotensive adults.

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Why the study?

Remote health monitoring gained interest during the COVID-19 pandemic, prompting evaluation of whether vital parameters can be determined contactless via smartphone-based remote photoplethysmography compared with certified medical devices.

Does smartphone-based remote photoplethysmography (WellFie application) accurately measure vital signs compared to certified medical devices in normotensive adults?

Population

150 normotensive adults

Comparison

Smartphone-based rPPG WellFie application vs certified medical devices

Design

Comparative cross-sectional validation study

Key result

The WellFie smartphone app predicted systolic BP, diastolic BP, and heart rate with 93.9%, 92.9%, and 97.3% accuracy respectively compared to certified medical devices in normotensive adults.

Authors

SRSujata RajanMSMadhava Sai SivapuramSKShiv Shankar Kumar

Discussion

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Overview

Hypothesis-generating for smartphone BP/HR monitoring; prospective validation needed before any clinical use.

Study Design

Type

Cross-Sectional (n=150)

Multicenter

No

Structured PICO

Does smartphone-based remote photoplethysmography (WellFie application) accurately measure vital signs compared to certified medical devices in normotensive adults?

P
Population
150 healthy normotensive adults aged 18 to 70 years evaluated in a cross-sectional validation study comparing a smartphone-based vital monitoring app to certified medical devices.
E
Exposure
Smartphone-based remote photoplethysmography (rPPG) technology enabled WellFie application capturing facial video for 60 seconds.
C
Comparator
Certified medical devices (blood pressure cuff on left arm and pulse oximeter on right index finger).
O
Outcome
Predictive accuracy of systolic blood pressure, diastolic blood pressure, heart rate, and respiratory rate compared to reference standards.surrogate

Main Result

Effect estimate: Accuracy: Systolic BP 93.94%, Diastolic BP 92.95%, HR 97.34%, RR 84.44%

Smartphone-based remote photoplethysmography can accurately determine blood pressure, heart rate, and respiratory rate in normotensive adults, offering a convenient contactless monitoring solution.

Limitations

  • Included only normotensive participants, not hypertensive or hypotensive.
  • Did not include participants with comorbid conditions or taking medications.
  • Not validated against gold standard techniques like invasive intra-arterial or mercury sphygmomanometer.
  • Did not control for different environmental conditions like outdoors, moving vehicles, or low light.
  • Included only normotensive participants, excluding hypertensive or hypotensive individuals and those with comorbid conditions or on medications.
  • Not validated against gold standard techniques (e.g., invasive intra-arterial or mercury sphygmomanometer).
  • Did not control for different environmental conditions such as outdoors, moving vehicles, or low light.

Cite This Study

Rajan et al. (2023) conducted a cross-sectional in Healthy normotensive adults (n=150). WellFie application (remote photoplethysmography) vs. Certified medical devices (Masimo pulse oximeter and Omron BP monitor) was evaluated on Predictive accuracy and relative mean absolute percentage error (RMAPE) for vital signs (HR, RR, systolic BP, diastolic BP) (Accuracy: Systolic BP 93.94%, Diastolic BP 92.95%, HR 97.34%, RR 84.44%). The WellFie smartphone app predicted systolic BP, diastolic BP, and heart rate with 93.9%, 92.9%, and 97.3% accuracy respectively compared to certified medical devices in normotensive adults.

synapsesocial.com/papers/6a86c5f7bb0787ff27ca06bbhttps://doi.org/10.1101/2023.01.14.23284548
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1EVALUATION OF THE ISELFIE HEART HEALTH SOFTWARE FOR ACCURACY AND CLINICAL APPLICABILITY IN BLOOD PRESSURE ESTIMATION2026
  2. 2Prospective clinical validation of a noncontact vital signs measurement smartphone application in emergency department2023 · 3 citations
  3. 3Development and Validation of remote Photoplethysmography (rPPG) Technology for Blood Pressure and Hemoglobin Level Assessment in the Preoperative Assessment Setting (Preprint)2024
  4. 4PPG-based Vital Signs Measurement Using SmartPhone Camera: Review2024 · 2 citations
  5. 5Non-Invasive Methodology for Detection of Vital Signs by PPG Signals Collected from the Finger via Smartphone Camera for Individuals Aged 18 to 70: Randomized Controlled Trial (Preprint)2024