Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG

Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbatio...
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Autor*in:	Arslan, Banu [verfasserIn] Sener, Kemal Guven, Ramazan Kapci, Mucahit Korkut, Semih Sutasir, Mehmet N. Tekindal, Mustafa A.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Apple Watch COPD exacerbation Pulse oximeter Smartwatch Wearables

Anmerkung:	© The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Übergeordnetes Werk:	Enthalten in: Irish journal of medical science - London : Springer, 1922, 193(2023), 1 vom: 13. Juli, Seite 477-483
Übergeordnetes Werk:	volume:193 ; year:2023 ; number:1 ; day:13 ; month:07 ; pages:477-483

Links:	Volltext

DOI / URN:	10.1007/s11845-023-03456-w

Katalog-ID:	SPR054508169

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520			\|a Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation.
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allfields	10.1007/s11845-023-03456-w doi (DE-627)SPR054508169 (SPR)s11845-023-03456-w-e DE-627 ger DE-627 rakwb eng Arslan, Banu verfasserin (orcid)0000-0003-0982-5351 aut Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. Apple Watch (dpeaa)DE-He213 COPD exacerbation (dpeaa)DE-He213 Pulse oximeter (dpeaa)DE-He213 Smartwatch (dpeaa)DE-He213 Wearables (dpeaa)DE-He213 Sener, Kemal aut Guven, Ramazan aut Kapci, Mucahit aut Korkut, Semih aut Sutasir, Mehmet N. aut Tekindal, Mustafa A. aut Enthalten in Irish journal of medical science London : Springer, 1922 193(2023), 1 vom: 13. Juli, Seite 477-483 (DE-627)527569887 (DE-600)2275855-0 0021-1265 nnns volume:193 year:2023 number:1 day:13 month:07 pages:477-483 https://dx.doi.org/10.1007/s11845-023-03456-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 193 2023 1 13 07 477-483
spelling	10.1007/s11845-023-03456-w doi (DE-627)SPR054508169 (SPR)s11845-023-03456-w-e DE-627 ger DE-627 rakwb eng Arslan, Banu verfasserin (orcid)0000-0003-0982-5351 aut Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. Apple Watch (dpeaa)DE-He213 COPD exacerbation (dpeaa)DE-He213 Pulse oximeter (dpeaa)DE-He213 Smartwatch (dpeaa)DE-He213 Wearables (dpeaa)DE-He213 Sener, Kemal aut Guven, Ramazan aut Kapci, Mucahit aut Korkut, Semih aut Sutasir, Mehmet N. aut Tekindal, Mustafa A. aut Enthalten in Irish journal of medical science London : Springer, 1922 193(2023), 1 vom: 13. Juli, Seite 477-483 (DE-627)527569887 (DE-600)2275855-0 0021-1265 nnns volume:193 year:2023 number:1 day:13 month:07 pages:477-483 https://dx.doi.org/10.1007/s11845-023-03456-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 193 2023 1 13 07 477-483
allfields_unstemmed	10.1007/s11845-023-03456-w doi (DE-627)SPR054508169 (SPR)s11845-023-03456-w-e DE-627 ger DE-627 rakwb eng Arslan, Banu verfasserin (orcid)0000-0003-0982-5351 aut Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. Apple Watch (dpeaa)DE-He213 COPD exacerbation (dpeaa)DE-He213 Pulse oximeter (dpeaa)DE-He213 Smartwatch (dpeaa)DE-He213 Wearables (dpeaa)DE-He213 Sener, Kemal aut Guven, Ramazan aut Kapci, Mucahit aut Korkut, Semih aut Sutasir, Mehmet N. aut Tekindal, Mustafa A. aut Enthalten in Irish journal of medical science London : Springer, 1922 193(2023), 1 vom: 13. Juli, Seite 477-483 (DE-627)527569887 (DE-600)2275855-0 0021-1265 nnns volume:193 year:2023 number:1 day:13 month:07 pages:477-483 https://dx.doi.org/10.1007/s11845-023-03456-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 193 2023 1 13 07 477-483
allfieldsGer	10.1007/s11845-023-03456-w doi (DE-627)SPR054508169 (SPR)s11845-023-03456-w-e DE-627 ger DE-627 rakwb eng Arslan, Banu verfasserin (orcid)0000-0003-0982-5351 aut Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. Apple Watch (dpeaa)DE-He213 COPD exacerbation (dpeaa)DE-He213 Pulse oximeter (dpeaa)DE-He213 Smartwatch (dpeaa)DE-He213 Wearables (dpeaa)DE-He213 Sener, Kemal aut Guven, Ramazan aut Kapci, Mucahit aut Korkut, Semih aut Sutasir, Mehmet N. aut Tekindal, Mustafa A. aut Enthalten in Irish journal of medical science London : Springer, 1922 193(2023), 1 vom: 13. Juli, Seite 477-483 (DE-627)527569887 (DE-600)2275855-0 0021-1265 nnns volume:193 year:2023 number:1 day:13 month:07 pages:477-483 https://dx.doi.org/10.1007/s11845-023-03456-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 193 2023 1 13 07 477-483
allfieldsSound	10.1007/s11845-023-03456-w doi (DE-627)SPR054508169 (SPR)s11845-023-03456-w-e DE-627 ger DE-627 rakwb eng Arslan, Banu verfasserin (orcid)0000-0003-0982-5351 aut Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. Apple Watch (dpeaa)DE-He213 COPD exacerbation (dpeaa)DE-He213 Pulse oximeter (dpeaa)DE-He213 Smartwatch (dpeaa)DE-He213 Wearables (dpeaa)DE-He213 Sener, Kemal aut Guven, Ramazan aut Kapci, Mucahit aut Korkut, Semih aut Sutasir, Mehmet N. aut Tekindal, Mustafa A. aut Enthalten in Irish journal of medical science London : Springer, 1922 193(2023), 1 vom: 13. Juli, Seite 477-483 (DE-627)527569887 (DE-600)2275855-0 0021-1265 nnns volume:193 year:2023 number:1 day:13 month:07 pages:477-483 https://dx.doi.org/10.1007/s11845-023-03456-w lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 193 2023 1 13 07 477-483
language	English
source	Enthalten in Irish journal of medical science 193(2023), 1 vom: 13. Juli, Seite 477-483 volume:193 year:2023 number:1 day:13 month:07 pages:477-483
sourceStr	Enthalten in Irish journal of medical science 193(2023), 1 vom: 13. Juli, Seite 477-483 volume:193 year:2023 number:1 day:13 month:07 pages:477-483
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Apple Watch COPD exacerbation Pulse oximeter Smartwatch Wearables
isfreeaccess_bool	false
container_title	Irish journal of medical science
authorswithroles_txt_mv	Arslan, Banu @@aut@@ Sener, Kemal @@aut@@ Guven, Ramazan @@aut@@ Kapci, Mucahit @@aut@@ Korkut, Semih @@aut@@ Sutasir, Mehmet N. @@aut@@ Tekindal, Mustafa A. @@aut@@
publishDateDaySort_date	2023-07-13T00:00:00Z
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Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. 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author	Arslan, Banu
spellingShingle	Arslan, Banu misc Apple Watch misc COPD exacerbation misc Pulse oximeter misc Smartwatch misc Wearables Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG
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topic_title	Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG Apple Watch (dpeaa)DE-He213 COPD exacerbation (dpeaa)DE-He213 Pulse oximeter (dpeaa)DE-He213 Smartwatch (dpeaa)DE-He213 Wearables (dpeaa)DE-He213
topic	misc Apple Watch misc COPD exacerbation misc Pulse oximeter misc Smartwatch misc Wearables
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title	Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG
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title_full	Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG
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author_browse	Arslan, Banu Sener, Kemal Guven, Ramazan Kapci, Mucahit Korkut, Semih Sutasir, Mehmet N. Tekindal, Mustafa A.
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title_sort	accuracy of the apple watch in measuring oxygen saturation: comparison with pulse oximetry and abg
title_auth	Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG
abstract	Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
abstractGer	Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
abstract_unstemmed	Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). Conclusion Apple Watch 6 is an accurate and reliable method for measuring $ SpO_{2} $ levels in emergency patients who presented with acute exacerbation of COPD. However, tachypneic patients may encounter challenges due to the potential need for multiple attempts to measure their oxygen saturation. © The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
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title_short	Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG
url	https://dx.doi.org/10.1007/s11845-023-03456-w
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author2	Sener, Kemal Guven, Ramazan Kapci, Mucahit Korkut, Semih Sutasir, Mehmet N. Tekindal, Mustafa A.
author2Str	Sener, Kemal Guven, Ramazan Kapci, Mucahit Korkut, Semih Sutasir, Mehmet N. Tekindal, Mustafa A.
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doi_str	10.1007/s11845-023-03456-w
up_date	2024-07-04T01:57:12.728Z
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Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Smartwatches have gained tremendous attention in recent years and have become widely accepted by patients, despite not being intended for medical diagnosis. Objective This study aimed to determine the accuracy of Apple Watch oxygen saturation measurement in patients with acute exacerbation of COPD by comparing it with medical-grade pulse oximetry and ABG. Method This single-center, prospective, cross-sectional study involved 167 patients. Patients presenting with cardiac arrest, life-threatening symptoms, severe hypoxia, or obvious jaundice were excluded. Additionally, patients whose $ SpO_{2} $ measurements with the Apple Watch took more than 2 min or required eight attempts were also excluded. Vital signs were measured simultaneously using the IntelliVue MX500 monitor with the Masimo Rainbow Set pulse oximeter and the Apple Watch. Concurrently, arterial blood gas (ABG) samples were drawn. Results A strong correlation between the Apple Watch 6 and medical-grade pulse oximetry (r = 0.89, ICC = 0.940) was noted. The Bland-Altman analysis revealed a mean error of 0.458% between the Apple Watch 6 and ABG (SD: 2.78, level of agreement: − 5.912 to 4.996). The mean error between pulse oximetry and ABG (SD: 5.086, level of agreement; − 10.983 to 8.953) was 1.015%. There was a correlation between respiratory rate and the number of attempts to measure $ SpO_{2} $ with the Apple Watch 6 (r = 0.75, p < 0.05). 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Accuracy of the Apple Watch in measuring oxygen saturation: comparison with pulse oximetry and ABG

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