Importance: Adverse posttraumatic neuropsychiatric sequelae after traumatic stress exposure are common and have higher incidence among socioeconomically disadvantaged populations. Pain, depression, avoidance of trauma reminders, reexperiencing trauma, anxiety, hyperarousal, sleep disruption, and nightmares have been reported. Wrist-wearable devices with accelerometers capable of assessing 24-hour rest-activity characteristics are prevalent and may have utility in measuring these outcomes.
View Article and Find Full Text PDFBackground: Heart failure (HF) is a major cause of frequent hospitalization and death. Early detection of HF symptoms using smartphone-based monitoring may reduce adverse events in a low-cost, scalable way.
Objective: We examined the relationship of HF decompensation events with smartphone-based features derived from passively and actively acquired data.
To develop a sleep staging method from wrist-worn accelerometry and the photoplethysmogram (PPG) by leveraging transfer learning from a large electrocardiogram (ECG) database.In previous work, we developed a deep convolutional neural network for sleep staging from ECG using the cross-spectrogram of ECG-derived respiration and instantaneous beat intervals, heart rate variability metrics, spectral characteristics, and signal quality measures derived from 5793 subjects in Sleep Heart Health Study (SHHS). We updated the weights of this model by transfer learning using PPG data derived from the Empatica E4 wristwatch worn by 105 subjects in the 'Emory Twin Study Follow-up' (ETSF) database, for whom overnight polysomnographic (PSG) scoring was available.
View Article and Find Full Text PDFUnlabelled: Post-Traumatic Stress Disorder (PTSD) is a psychiatric condition resulting from threatening or horrifying events. We hypothesized that circadian rhythm changes, measured by a wrist-worn research watch are predictive of post-trauma outcomes.
Approach: 1618 post-trauma patients were enrolled after admission to emergency departments (ED).
Study Objectives: The usage of wrist-worn wearables to detect sleep-wake states remains a formidable challenge, particularly among individuals with disordered sleep. We developed a novel and unbiased data-driven method for the detection of sleep-wake and compared its performance with the well-established Oakley algorithm (OA) relative to polysomnography (PSG) in elderly men with disordered sleep.
Methods: Overnight in-lab PSG from 102 participants was compared with accelerometry and photoplethysmography simultaneously collected with a wearable device (Empatica E4).