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A handheld and textile-enabled bioimpedance system for ubiquitous body composition analysis.: An initial functional validation
KTH, School of Technology and Health (STH), Medical Engineering. Högskolan i Borås. (Medicinska sensorer, signaler och system (MSSS), Medical sensors, signals and systems (MSSS))ORCID iD: 0000-0002-6605-4998
Technical University of Madrid.ORCID iD: 0000-0002-1183-4401
KTH, School of Technology and Health (STH), Medical Engineering. (Medicinska sensorer, signaler och system (MSSS), Medical sensors, signals and systems (MSSS))ORCID iD: 0000-0003-4853-7731
KTH, School of Technology and Health (STH), Medical Engineering. Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. (Medicinska sensorer, signaler och system (MSSS), Medical sensors, signals and systems (MSSS))ORCID iD: 0000-0002-6995-967X
2016 (English)In: IEEE Journal of Biomedical and Health InformaticsArticle in journal (Refereed) Published
Abstract [en]

In recent years, many efforts have been made to promote a healthcare paradigm shift from the traditional reactive hospital-centered healthcare approach towards a proactive, patient-oriented and self-managed approach that could improve service quality and help reduce costs while contributing to sustainability. Managing and caring for patients with chronic diseases accounts over 75% of healthcare costs in developed countries. One of the most resource demanding diseases is chronic kidney disease (CKD), which often leads to a gradual and irreparable loss of renal function, with up to 12% of the population showing signs of different stages of this disease. Peritoneal dialysis and home haemodialysis are life-saving home-based renal replacement treatments that, compared to conventional in-center hemodialysis, provide similar long-term patient survival, less restrictions of life-style, such as a more flexible diet, and better flexibility in terms of treatment options and locations. Bioimpedance has been largely used clinically for decades in nutrition for assessing body fluid distributions. Moreover, bioimpedance methods are used to assess the overhydratation state of CKD patients, allowing clinicians to estimate the amount of fluid that should be removed by ultrafiltration. In this work, the initial validation of a handheld bioimpedance system for the assessment of body fluid status that could be used to assist the patient in home-based CKD treatments is presented. The body fluid monitoring system comprises a custom-made handheld tetrapolar bioimpedance spectrometer and a textile-based electrode garment for total body fluid assessment. The system performance was evaluated against the same measurements acquired using a commercial bioimpedance spectrometer for medical use on several voluntary subjects. The analysis of the measurement results and the comparison of the fluid estimations indicated that both devices are equivalent from a measurement performance perspective, allowing for its use on ubiquitous e-healthcare dialysis solutions.

Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers (IEEE), 2016.
Keyword [en]
wireless, bioimpedance, body composition, electrodes, garment, home care, instrumentation, personalized healthcare, proactive care, self-managed care, sensor, textiles, wearable
National Category
Medical Engineering
Research subject
Applied Medical Technology
Identifiers
URN: urn:nbn:se:kth:diva-199440DOI: 10.1109/JBHI.2016.2628766OAI: oai:DiVA.org:kth-199440DiVA: diva2:1062686
Note

QC 20170119

Available from: 2017-01-08 Created: 2017-01-08 Last updated: 2017-01-19Bibliographically approved

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Ferreira, JavierPau de la Cruz, IvanLindecrantz, KajSeoane, Fernando
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