Development of a Remote Health-Monitoring System for Frail People: A Preliminary Study.

Abstract

Respiratory and cardiovascular functions decline with age in elderly individuals. Consequently, the incidence of chronic respiratory and cardiovascular diseases increases with age. Heart disease and pneumonia are the leading causes of death in Japan. Given the pathophysiological nature of these diseases, patients inevitably require monitoring of their cardiac and pulmonary functions, such as heart rate and arterial blood oxygenation, as systemic parameters. In addition, monitoring skin temperature and humidity as local parameters is preferable for elderly individuals to maintain healthy daily conditions. In the present study, we developed a wearable vital sign monitoring system and validated the accuracy of the device under development as compared to authorised medical devices that measure these systemic and local parameters in the peripheral tissue of the palm. For the systemic parameters, mean values showed no significant differences between the two devices, but the data bias was greater for the device under development. For the local parameters, mean values showed significant differences between the two devices; however, the data bias was the same for both devices. The acceptable data acquisition of the device under development was approximately 89%, with error acquisition mainly caused by the measurement of systemic parameters. We conclude that further improvements in measurement of systemic parameters are required to increase the data acquisition beyond 90%.