TY - JOUR T1 - Wearable remote monitoring for patients with COVID-19 in low-resource settings: case study JF - BMJ Innovations JO - BMJ Innov SP - s12 LP - s15 DO - 10.1136/bmjinnov-2021-000706 VL - 7 IS - Suppl 1 AU - Nguyen Van Vinh Chau AU - Ho Bich Hai AU - Heloise Greeff AU - Khanh Phan Nguyen Quoc AU - Huynh Trung Trieu AU - Le Dinh Van Khoa AU - Chi Ngo Nguyen AU - Hoang Minh Tu Van AU - Lam Minh Yen AU - Le Van Tan AU - Nguyen Thanh Dung AU - David Clifton AU - Sophie Yacoub AU - C Louise Thwaites A2 - , Y1 - 2021/03/01 UR - http://innovations.bmj.com/content/7/Suppl_1/s12.abstract N2 - Summary boxWhat are the new findings?Conventional remote monitoring systems for critically ill patients are expensive.We propose a conceptual prototype of low-cost wearable remote monitoring for resource-restricted settings capable of real-time signal capture and quality control.We describe piloting this system for monitoring of patients with COVID-19 in a field hospital in Vietnam.How might it impact on healthcare in the future?This prototype could provide a flexible and scalable solution for remote patient monitoring in resource-limited settings, with the potential for improved patient care, staff time and healthcare resource utilisation.By gathering real-time continuous monitoring data, our system could use advanced analytics and personalised clinical decision support systems.As of 24 February 2021, the Vietnam Ministry of Health has reported 2412 cases of COVID-19.1 The country’s meticulous contact tracing strategy, mass testing and strict quarantine require all confirmed cases and first-degree contacts to be isolated and carefully monitored in dedicated facilities for at least 14 days. Additional monitoring of cases occurs until resolution of symptoms and three consecutive negative reverse transcription PCR tests.2 Even for mild cases (those without oxygen requirement) and first-degree contacts, trained medical staff wearing personal protective equipment (PPE) perform monitoring two times per day.Many quarantine facilities are rural local hospitals or military camps where there was hitherto only limited medical monitoring capacity. Therefore, even in a country with limited COVID-19 cases, the required control measures continue to place a great burden on the country’s healthcare system.Throughout the world, there is an unprecedented demand for equipment and staff to monitor patients with COVID-19. To eliminate unnecessary patient contact and reduce the burden on facilities and staff, the Food and Drug Administration in the USA has relaxed regulations concerning remote non-invasive monitoring devices, increasing the potential of technological solutions.3 In the UK, non-invasive pulse photoplethysmography (PPG) has been used for self-monitoring oxygen saturation (SpO2) in … ER -