Validation of respiratory rate measurements from remote monitoring device in COPD patients

• Published in: Respiratory Medicine and Research
• Main Authors: Soler, J., Alves Pegoraro, J., Le, X.L., Nguyen, D.P.Q., Grassion, L., Antoine, R., Guerder, A., Gonzalez-Bermejo, J.
• Other Authors: Service de Pneumologie et Réanimation Médicale CHU Pitié-Salpêtrière (Département " R3S "), CHU Pitié-Salpêtrière AP-HP, Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Service de Pneumologie CHRU Nancy, Mathématiques Appliquées Paris 5 (MAP5 - UMR 8145), Université Paris Descartes - Paris 5 (UPD5)-Institut National des Sciences Mathématiques et de leurs Interactions (INSMI)-Centre National de la Recherche Scientifique (CNRS), Hôpital Haut-Lévêque CHU Bordeaux, CHU Bordeaux Bordeaux, Neurophysiologie Respiratoire Expérimentale et Clinique, Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Sorbonne Université (SU)
• Format: Article in Journal/Newspaper
• Language: English
• Published: HAL CCSD 2019
• Subjects: COPD; Exacerbation; Home care; LTOT; Telemonitoring; [SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract; Iceland
• Online Access: https://hal.sorbonne-universite.fr/hal-02178946; https://hal.sorbonne-universite.fr/hal-02178946/document; https://hal.sorbonne-universite.fr/hal-02178946/file/Respiratory%20rate%20telemonitoring%20validation%20-%20Reviewed.pdf; https://doi.org/10.1016/j.resmer.2019.05.002

International audience With healthcare objectives and budget constraint, remote monitoring of chronic obstructive pulmonary disease (COPD) patients is an important challenge in most European countries. Recent works have shown that it is possible to predict COPD exacerbation based on monitoring of simple parameters, such as the respiratory rate (RR) of the patient in spontaneous ventilation or under non-invasive ventilation. Until now, these devices do not allow a daily automatic data remote transmission,[4] or it is restricted to patients under mechanical ventilation. TeleOx® (SRETT, Boulogne-Billancourt, France), the first oxygen flow rate remote monitoring device, also allows a RR measurement by associating a pressure sensor and a fluidic oscillator flow sensor. A median RR is output every 5 minutes based on time interval between two consecutive respiratory cycles.In this study, we compared the corresponding RR measurements between TeleOx® and the reference polygraph (Nox-T3®, Nox Medical Inc. Reykjavik, Iceland) from COPD patients under nasal oxygen therapy with flow rates between 0.5 and 5.0 litres per minute. Patients without mechanical ventilation and without any other respiratory pathology were eligible to the study if they would undergo a ventilatory polygraph record for other reasons