ArticleJournal of paediatrics and child health2026
The Accuracy of a Commercial Wearable Neonatal Home-Monitoring Device: A Simulation Study.
Article in Journal of paediatrics and child health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveWearable newborn-monitoring devices are increasingly popular and widely available for home use. One approach includes the use of accelerometer detection of breathing movements. We investigated the accuracy of breathing and apnoea detection by a wearable accelerometer in a simulated environment.
designThis study used simulation as a method to evaluate the performance of a wearable accelerometer-based breathing detection device. A term mannequin fitted with an accelerometer suit wirelessly linked to a mobile app (Goldilocks) was NeoPuff ventilated through a cuffed endotracheal tube. Peak inspiratory pressure (PIP) levels of 5-25 cmH
resultsPIP level affected both apnoea detection (H(4) = 58.9, p < 0.0001) and breathing detection (H(4) = 86.5, p < 0.001) with performance reduced at 5 cmH
conclusionsThe accelerometer displayed pressure-dependent accuracy, increasing with higher PIP, suggesting a minimum pressure threshold is needed for reliable monitoring. App alert times varied greatly, compounding the accuracy of adverse event detection. To determine their true utility, rigorous investigation of neonatal wearable home-monitoring devices is required.
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