title: Surveillance of infants at risk of apparent life threatening events (ALTE) with the BBA bootee: a wearable multiparameter monitor.
abstract: We report on the results of clinical evaluation of a newly developed system for wireless monitoring of pulse oximetry (SpO2), actimetry and position in infants. The sensors, electronics and the power supply were integrated into a specially designed infant shoe named BBA bootee. The comparative data collected in 71 babies yielded a mean (bias +/- SD) value of (-1.2 +/- 1.9) % for SpO2 and (-2 +/- 8) beats per minute for heart rate with regard to reference monitors. A reliable detection of infant's movements and prone position by an integrated 3-axes accelerometer has been validated by video observations. Combining the pulse oximetry and actimetry data, an algorithm is proposed to reduce the oximetry motion artifact and related false alarms. Ergonomics of the sensor-supporting garment is addressed.
authors.affiliation: Hospital Center of Aixen-Provence, 13100 France. yrimet@ch-aix.fr
authors.forename: Yves
authors.initials: Y
authors.lastname: Rimet
authors.forename: Yves
authors.initials: Y
authors.lastname: Brusquet
authors.forename: Dominique
authors.initials: D
authors.lastname: Ronayette
authors.forename: Christian
authors.initials: C
authors.lastname: Dageville
authors.forename: Marc
authors.initials: M
authors.lastname: Lubrano
authors.forename: Eric
authors.initials: E
authors.lastname: Mallet
authors.forename: Caroline
authors.initials: C
authors.lastname: Rambaud
authors.forename: Christian
authors.initials: C
authors.lastname: Terlaud
authors.forename: Jerome
authors.initials: J
authors.lastname: Silve
authors.forename: Olivier
authors.initials: O
authors.lastname: Lerda
authors.forename: Larissa I
authors.initials: LI
authors.lastname: Netchiporouk
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Weber
mesh_terms: D004581:Electronics; D004784:Environmental Monitoring / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D006339:Heart Rate; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis* / Q000517:prevention & control; D009068:Movement; D010092:Oximetry; D010101:Oxygen Consumption; D016684:Prone Position; D012775:Shoes