Feasibility of continuous fever monitoring using wearable devices.
Feasibility of continuous fever monitoring using wearable devices.
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DOI：
10.1038/s41598-020-78355-6
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发表时间：
2020-12-14
影响因子：
4.6
通讯作者：
Mason AE
中科院分区：
文献类型：
--
作者：
Smarr BL;Aschbacher K;Fisher SM;Chowdhary A;Dilchert S;Puldon K;Rao A;Hecht FM;Mason AE
核心温度升高是新冠肺炎感染的一个重要生物标志物；然而，目前还没有使用可穿戴式外围温度传感器监测发烧的标准。传感器可用于发展发烧监测能力的证据将使大规模健康监测研究成为可能，并提供关于不同人群发烧反应的高时间分辨率数据。我们于2020年3月启动了TemPredict研究，以在新型冠状病毒大流行期间从一种商用可穿戴设备中捕获包括外围温度在内的连续生理数据。我们将这些数据与症状报告和新冠肺炎诊断数据结合起来。在这里，我们报告了前50名报告新冠肺炎感染的受试者的发现。这些病例提供了第一个证据，表明使用可穿戴设备可以观察到与疾病相关的外围温度升高，并与自我报告的发烧相关。我们的分析支持这样一个假设，即可穿戴传感器可以在没有症状识别的情况下检测疾病。最后，这些数据支持这样一种假设，即使用可穿戴传感器收集的连续生成的生理数据可以预测疾病的发生。我们的发现应该会鼓励进一步研究可穿戴传感器在公共卫生工作中的作用，旨在检测疾病，并强调将温度传感器集成到商业可穿戴设备中的重要性。
Elevated core temperature constitutes an important biomarker for COVID-19 infection; however, no standards currently exist to monitor fever using wearable peripheral temperature sensors. Evidence that sensors could be used to develop fever monitoring capabilities would enable large-scale health-monitoring research and provide high-temporal resolution data on fever responses across heterogeneous populations. We launched the TemPredict study in March of 2020 to capture continuous physiological data, including peripheral temperature, from a commercially available wearable device during the novel coronavirus pandemic. We coupled these data with symptom reports and COVID-19 diagnosis data. Here we report findings from the first 50 subjects who reported COVID-19 infections. These cases provide the first evidence that illness-associated elevations in peripheral temperature are observable using wearable devices and correlate with self-reported fever. Our analyses support the hypothesis that wearable sensors can detect illnesses in the absence of symptom recognition. Finally, these data support the hypothesis that prediction of illness onset is possible using continuously generated physiological data collected by wearable sensors. Our findings should encourage further research into the role of wearable sensors in public health efforts aimed at illness detection, and underscore the importance of integrating temperature sensors into commercially available wearables.
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