Overview of device types in remote patient monitoring
Device | Data collected | Positives | Limitations | |
Physiological measurements | Pulse oximeter | Heart rate SpO2 | Low cost Widely available Non-invasive | False alarms Variable methodology Separate device |
In-line monitor/non-invasive ventilation | Respiratory rate End-tidal CO2 | Does not require active participation | Only applicable for those on home oxygen | |
Lung function variables | Handheld spirometry | FEV1
FVC (or FEV6) | Time-consuming Accurate data collection requires more training Weakly associated with acute change in symptoms | |
Peak expiratory flow meters | Peak expiratory flow rate | Cheaper, simpler than spirometry | Less widely used than spirometry Change does not precede exacerbation | |
Symptoms | Symptom diary or questionnaire | Respiratory symptoms Activity level | High compliance | Representative of a discrete time point Symptoms influenced by external factors |
Device actuation | Self-reported or measured medication use | Monitor adherence to inhaled therapy | Correlates with symptom burden Can be used for maintenance and rescue inhalers Does not require active participation Objective surrogate for respiratory symptoms | Recall bias if reported |
FEV1, forced expiratory volume in 1 s; FEV6, forced expiratory volume in 6 s; FVC, forced vital capacity ; SpO2, oxygen saturation.