Publications by authors named "G Regalia"

Introduction: Though wrist-worn photoplethysmography (PPG) sensors play an important role in long-term and continuous heart rhythm monitoring, signals measured at the wrist are contaminated by more intense motion artifacts compared to other body locations. Machine learning (ML)-based algorithms can improve long-term pulse rate (PR) tracking but are associated with more stringent regulatory requirements when intended for clinical use. This study aimed to evaluate the accuracy of a digital health technology using wrist-worn PPG sensors and an ML-based algorithm to measure PR continuously.

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Article Synopsis
  • This study evaluated if seizure patterns seen in previous research were also detectable using wristband data combined with AI technology and patient self-reports for tonic-clonic seizures (TCS).
  • Over 137,000 TCS occurrences from over 3,000 patients were analyzed, revealing consistent monthly frequency distributions and various seizure cycles like daily and weekly patterns.
  • The findings suggest that wearable devices effectively track TCS occurrences non-invasively and over the long term, but highlight the need for better patient engagement with alerts and validation of detection methods.
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Introduction: Respiratory diseases such as chronic obstructive pulmonary disease, obstructive sleep apnea syndrome, and COVID-19 may cause a decrease in arterial oxygen saturation (SaO). The continuous monitoring of oxygen levels may be beneficial for the early detection of hypoxemia and timely intervention. Wearable non-invasive pulse oximetry devices measuring peripheral oxygen saturation (SpO) have been garnering increasing popularity.

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Using machine learning to combine wrist accelerometer (ACM) and electrodermal activity (EDA) has been shown effective to detect primarily and secondarily generalized tonic-clonic seizures, here termed as convulsive seizures (CS). A prospective study was conducted for the FDA clearance of an ACM and EDA-based CS-detection device based on a predefined machine learning algorithm. Here we present its performance on pediatric and adult patients in epilepsy monitoring units (EMUs).

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The purpose of the present work is to examine, on a clinically diverse population of older adults (N = 46) sleeping at home, the performance of two actigraphy-based sleep tracking algorithms (i.e., Actigraphy-based Sleep algorithm, ACT-S1 and Sadeh's algorithm) compared to manually scored electroencephalography-based PSG (PSG-EEG).

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