Wearable Systems for Home Monitoring Healthcare: The Photoplethysmography Success Pros and Cons

The widespread use of remote technology has moved medical care services into individuals' homes. In this perspective, the ubiquitous computing research proposes self-management and remote monitoring to help patients with healthcare in low-cost everyday home usage systems based on the latest technological advances in sensors, communication, and portability. This work analyzes recent publications on the paradigm of continuous monitoring through wearable and portable systems, focusing on photoplethysmography (PPG) advances and referencing the current systematic study proposed by Fine et al. The study revised the literature highlighting the pros and cons of using the PPG system for fitness, wellbeing, and medical devices. However, future works should focus on the standardization of the practical use and assessment of the quality of the PPGs' output. For clinical parameter extraction methodology in terms of biological sites of application and signal processing methods, PPG is the most convenient and widely used system potentially suitable for the decentralized paradigm of continuous monitoring healthcare concepts.