Perioperative medicine & outcomes

Continuous noninvasive blood pressure monitoring with wearable photoplethysmography: A method comparison study in high-risk patients recovering from noncardiac surgery

Eur J AnaesthesiolPublished Method comparison study

Authors' conclusion

Blood pressure measurements from the Biobeat wrist monitor and the Biobeat chest monitor did not show clinically acceptable agreement either with intra-arterial blood pressure measurements or with blood pressure measurements from an oscillometric upper-arm cuff in high-risk patients recovering from noncardiac surgery in an advanced postanaesthesia care unit.

Study context

Population
High-risk patients recovering from noncardiac surgery in an advanced PACU, University Medical Center Hamburg-Eppendorf, Germany
Participants
50 patients
Exposure
Biobeat wrist and chest monitors vs intra-arterial BP; wrist monitor vs oscillometric upper-arm cuff
Outcome
Agreement of Biobeat BP measurements with intra-arterial BP (and wrist monitor with oscillometric cuff): Bland-Altman analysis, four-quadrant plot, error grid analysis
Methodological detailsprospective, single-centre
  • Prospective
  • Single-centre

Main finding

As reported in the abstract

Mean BP agreement (mean of differences ± SD, 95% limits of agreement) and concordance rate for 15-min BP changes

Mean of the differences ± SD

3 ± 11 mmHg

95%-limits of agreement CI −19 to 25

Biobeat wrist monitor vs Intra-arterial BP · concordance rate 51%

Mean of the differences ± SD

3 ± 11 mmHg

95%-limits of agreement CI −17 to 24

Biobeat chest monitor vs Intra-arterial BP · concordance rate 61%

Mean of the differences ± SD

6 ± 11 mmHg

95%-limits of agreement CI −16 to 27

Biobeat wrist monitor vs Oscillometric upper-arm cuff · concordance rate 49%

Observational data: associations, not effects.

Original publication

Continuous noninvasive blood pressure monitoring with wearable photoplethysmography: A method comparison study in high-risk patients recovering from noncardiac surgery. Eur J Anaesthesiol. Published 25 June 2025. doi:10.1097/eja.0000000000002222

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