Evidence mapPaperPMID 36979533Full record

ArticleBiosensors2023

Upper-Arm Photoplethysmographic Sensor with One-Time Calibration for Long-Term Blood Pressure Monitoring.

Ching-Fu Wang, Ting-Yun Wang, Pei-Hsin Kuo, Han-Lin Wang, Shih-Zhang Li, Chia-Ming Lin, Shih-Chieh Chan, Tzu-Yu Liu, Yu-Chun Lo, Sheng-Huang Lin and 1 more

Open access · goldFull text read
In one paragraph

Article in Biosensors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Ching-Fu WangDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Taipei 112304, Taiwan.ORCID 0000-0001-5874-6591
Ting-Yun WangDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Taipei 112304, Taiwan.
Pei-Hsin KuoDepartment of Neurology, Hualien Tzu Chi Hospital, Buddhist Tzu chi Medical Foundation, No. 707, Sec. 3, Zhongyang Rd., Hualien 970473, Taiwan.
Han-Lin WangDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Taipei 112304, Taiwan.
Shih-Zhang LiDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Taipei 112304, Taiwan.
Chia-Ming LinMicrolife Corporation, 9F, No. 431, Ruiguang Rd., Taipei 114063, Taiwan.
Shih-Chieh ChanDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Taipei 112304, Taiwan.
Tzu-Yu LiuMaterial and Chemical Research Laboratories, Industrial Technology Research Institute, No. 195, Sec. 4, Chunghsing Rd., Hsinchu 310401, Taiwan.
Yu-Chun LoThe Ph.D. Program in Medical Neuroscience, College of Medical Science and Technology, Taipei Medical University, No. 250, Wu-Xing St., Taipei 11031, Taiwan.
Sheng-Huang LinDepartment of Neurology, Hualien Tzu Chi Hospital, Buddhist Tzu chi Medical Foundation, No. 707, Sec. 3, Zhongyang Rd., Hualien 970473, Taiwan.
You-Yin ChenDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, No. 155, Sec. 2, Linong St., Taipei 112304, Taiwan.ORCID 0000-0003-4869-3857
National Yang Ming Chiao Tung University · TWTzu Chi University · TWIndustrial Technology Research Institute · TWTaipei Medical University · TW

Funding

Taiwan National Science and Technology NSTC-111-2314-B-303 -037
6 · The paper itself

Abstract

Wearable cuffless photoplethysmographic blood pressure monitors have garnered widespread attention in recent years; however, the long-term performance values of these devices are questionable. Most cuffless blood pressure monitors require initial baseline calibration and regular recalibrations with a cuffed blood pressure monitor to ensure accurate blood pressure estimation, and their estimation accuracy may vary over time if left uncalibrated. Therefore, this study assessed the accuracy and long-term performance of an upper-arm, cuffless photoplethysmographic blood pressure monitor according to the ISO 81060-2 standard. This device was based on a nonlinear machine-learning model architecture with a fine-tuning optimized method. The blood pressure measurement protocol followed a validation procedure according to the standard, with an additional four weekly blood pressure measurements over a 1-month period, to assess the long-term performance values of the upper-arm, cuffless photoplethysmographic blood pressure monitor. The results showed that the photoplethysmographic signals obtained from the upper arm had better qualities when compared with those measured from the wrist. When compared with the cuffed blood pressure monitor, the means ± standard deviations of the difference in BP at week 1 (baseline) were -1.36 ± 7.24 and -2.11 ± 5.71 mmHg for systolic and diastolic blood pressure, respectively, which met the first criterion of ≤5 ± ≤8.0 mmHg and met the second criterion of a systolic blood pressure ≤ 6.89 mmHg and a diastolic blood pressure ≤ 6.84 mmHg. The differences in the uncalibrated blood pressure values between the test and reference blood pressure monitors measured from week 2 to week 5 remained stable and met both criteria 1 and 2 of the ISO 81060-2 standard. The upper-arm, cuffless photoplethysmographic blood pressure monitor in this study generated high-quality photoplethysmographic signals with satisfactory accuracy at both initial calibration and 1-month follow-ups. This device could be a convenient and practical tool to continuously measure blood pressure over long periods of time.

Indexed as

Blood Pressure DeterminationWristBlood PressureCalibrationMonitoring, Physiologiccuffless blood pressure monitor (cuffless BPM)long-term monitoringmedical regulationupper-arm photoplethysmography (upper-arm PPG)wearable device

Identifiers

PMID36979533
PMCPMC10046397
OpenAlexW4322503474

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read35
table measurements read1
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.