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Children 2018, 5(3), 38; https://doi.org/10.3390/children5030038

Accuracy of a Wrist-Worn Heart Rate Sensing Device during Elective Pediatric Surgical Procedures

1
Pediatric Surgery Unit, Children’s Hospital, Istituto Mediterraneo di Eccellenza Pediatrica, 90134 Palermo, Italy
2
Anesthesiology and Intensive Care Unit, Children’s Hospital, Istituto Mediterraneo di Eccellenza Pediatrica, 90134 Palermo, Italy
3
Biometry & Clinical Epidemiology, Scientific Direction, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy
4
Pediatric Cardiology Unit, Children’s Hospital, Istituto Mediterraneo di Eccellenza Pediatrica, 90134 Palermo, Italy
5
Operating Room Coordination, Ospedale ARNAS Civico, Di Cristina e Benfratelli, 90134 Palermo, Italy
6
Pediatrics and Adolescentology Unit, Department of Internal Medicine, University of Pavia and Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy
*
Author to whom correspondence should be addressed.
Received: 2 November 2017 / Revised: 23 February 2018 / Accepted: 2 March 2018 / Published: 8 March 2018
(This article belongs to the Section Pediatric Surgery)
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Abstract

The reliability of wearable photoplethysmography (PPG) sensors to measure heart rate (HR) in hospitalized patients has only been demonstrated in adults. We evaluated the accuracy of HR monitoring with a personal fitness tracker (PFT) in children undergoing surgery. HR monitoring was performed using a wrist-worn PFT (Fitbit Charge HR) in 30 children (8.21 ± 3.09 years) undergoing laparoscopy (n = 8) or open surgery (n = 22). HR values were analyzed preoperatively and during surgery. The accuracy of HR recordings was compared with measurements recorded during continuous electrocardiographic (cECG) monitoring; HRs derived from continuous monitoring with pulse oximetry (SpO2R) were used as a positive control. PFT-derived HR values were in agreement with those recorded during cECG (r = 0.99) and SpO2R (r = 0.99) monitoring. PFT performance remained high in children < 8 years (r = 0.99), with a weight < 30 kg (r = 0.99) and when the HR was < 70 beats per minute (bpm) (r = 0.91) or > 140 bpm (r = 0.99). PFT accuracy was similar during laparoscopy and open surgery, as well as preoperatively and during the intervention (r > 0.9). PFT–derived HR showed excellent accuracy compared with HRs measured by cECG and SpO2R during pediatric surgical procedures. Further clinical evaluation is needed to define whether PFTs can be used in different health care settings. View Full-Text
Keywords: personal fitness tracker; children; pediatric surgery; heart rate personal fitness tracker; children; pediatric surgery; heart rate
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Pelizzo, G.; Guddo, A.; Puglisi, A.; De Silvestri, A.; Comparato, C.; Valenza, M.; Bordonaro, E.; Calcaterra, V. Accuracy of a Wrist-Worn Heart Rate Sensing Device during Elective Pediatric Surgical Procedures. Children 2018, 5, 38.

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