Perioperative medicine & outcomes

Accuracy of vital sign monitoring using a photoplethysmography upper arm wearable device in postoperative non-cardiac surgery patients: a prospective observational clinical validation study

J Clin Monit ComputPublished Prospective observational clinical validation study

Authors' conclusion

The viQtor® device demonstrated high accuracy for RR, HR, and SpO₂ in postoperative patients.

Study context

Population
Postoperative non-cardiac surgery patients in the Post-Anesthesia Care Unit (PACU)
Participants
42 patients
Comparison
PPG-based upper arm wearable vs standard PACU monitoring
Outcome
Accuracy of RR, HR and SpO₂ vs reference (Bland-Altman; Clarke Error Grid)
Methodological detailsMedian monitoring duration 14.0 hours
  • Median monitoring duration 14.0 hours

Performance

As reported in the abstract

Agreement with reference (ARMS, bias, 95% LoA)
Test or modelRR Average Root Mean Square (ARMS)RR bias (95% LoA)HR ARMSHR bias (95% LoA)SpO2 ARMSSpO2 bias (95% LoA)
viQtor®2.85 BRPM−0.40 (−5.85 to 5.04)2.01 BPM0.08 (−3.83 to 3.99)2.08%−0.03 (−4.14 to 4.09)

viQtor®

RR Average Root Mean Square (ARMS)2.85 BRPM
RR bias (95% LoA)−0.40 (−5.85 to 5.04)
HR ARMS2.01 BPM
HR bias (95% LoA)0.08 (−3.83 to 3.99)
SpO2 ARMS2.08%
SpO2 bias (95% LoA)−0.03 (−4.14 to 4.09)

Further findings

Data availability high across all three parameters; patient satisfaction excellent

Original publication

Accuracy of vital sign monitoring using a photoplethysmography upper arm wearable device in postoperative non-cardiac surgery patients: a prospective observational clinical validation study. J Clin Monit Comput. Published 22 September 2025. doi:10.1007/s10877-025-01358-z

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