{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:42:48Z","timestamp":1793659368128,"version":"4.5.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000837","name":"University of Nottingham","doi-asserted-by":"publisher","award":["EP\/R511730\/1"],"award-info":[{"award-number":["EP\/R511730\/1"]}],"id":[{"id":"10.13039\/501100000837","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000837","name":"University of Nottingham","doi-asserted-by":"publisher","award":["RA45VJ"],"award-info":[{"award-number":["RA45VJ"]}],"id":[{"id":"10.13039\/501100000837","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007882","name":"Faculty of Engineering, University of Nottingham","doi-asserted-by":"publisher","award":["A1H361"],"award-info":[{"award-number":["A1H361"]}],"id":[{"id":"10.13039\/501100007882","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000266","name":"Engineering and Physical Sciences Research Council","doi-asserted-by":"publisher","award":["EP\/K 503101\/1 via Tioga Ltd PhD CASE award"],"award-info":[{"award-number":["EP\/K 503101\/1 via Tioga Ltd PhD CASE award"]}],"id":[{"id":"10.13039\/501100000266","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006041","name":"Innovate UK","doi-asserted-by":"publisher","award":["MRC MC_PC_15012"],"award-info":[{"award-number":["MRC MC_PC_15012"]}],"id":[{"id":"10.13039\/501100006041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>A device for newborn heart rate (HR) monitoring at birth that is compatible with delayed cord clamping and minimises hypothermia risk could have advantages over current approaches. We evaluated a wireless, cap mounted device (fhPPG) for monitoring neonatal HR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 52 infants on the neonatal intensive care unit (NICU) and immediately following birth by elective caesarean section (ECS) were recruited. HR was monitored by electrocardiogram (ECG), pulse oximetry (PO) and the fhPPG device. Success rate, accuracy and time to output HR were compared with ECG as the gold standard. Standardised simulated data assessed the fhPPG algorithm accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to ECG HR, the median bias (and 95% limits of agreement) for the NICU was fhPPG \u22120.6 (\u22125.6, 4.9) vs PO \u22120.3 (\u22126.3, 6.2) bpm, and ECS phase fhPPG \u22120.5 (\u22128.7, 7.7) vs PO \u22120.1 (\u22127.6, 7.1) bpm. In both settings, fhPPG and PO correlated with paired ECG HRs (both R<jats:sup>2<\/jats:sup>\u00a0=\u00a00.89). The fhPPG HR algorithm during simulations demonstrated a near\u2010linear correlation (n\u00a0=\u00a01266, R<jats:sup>2<\/jats:sup>\u00a0=\u00a00.99).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Monitoring infants in the NICU and following ECS using a wireless, cap mounted device provides accurate HR measurements. This alternative approach could confer advantages compared with current methods of HR assessment and warrants further evaluation at birth.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15303","type":"journal-article","created":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T11:24:38Z","timestamp":1586777078000},"page":"72-78","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Accurate neonatal heart rate monitoring using a new wireless, cap mounted device"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1192-9985","authenticated-orcid":false,"given":"Caroline","family":"Henry","sequence":"first","affiliation":[{"name":"Division of Child Health Obstetrics &amp; Gynaecology University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8538-9531","authenticated-orcid":false,"given":"Lara","family":"Shipley","sequence":"additional","affiliation":[{"name":"Division of Child Health Obstetrics &amp; Gynaecology University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole","family":"Ward","sequence":"additional","affiliation":[{"name":"Division of Child Health Obstetrics &amp; Gynaecology University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siavash","family":"Mirahmadi","sequence":"additional","affiliation":[{"name":"Faculty of Engineering University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2340-4329","authenticated-orcid":false,"given":"Chong","family":"Liu","sequence":"additional","affiliation":[{"name":"Faculty of Engineering University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Morgan","sequence":"additional","affiliation":[{"name":"Faculty of Engineering University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5438-2169","authenticated-orcid":false,"given":"John","family":"Crowe","sequence":"additional","affiliation":[{"name":"Faculty of Engineering University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Carpenter","sequence":"additional","affiliation":[{"name":"SurePulse Medical Limited Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4237-7001","authenticated-orcid":false,"given":"Barrie","family":"Hayes\u2010Gill","sequence":"additional","affiliation":[{"name":"Faculty of Engineering University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4989-8697","authenticated-orcid":false,"given":"Don","family":"Sharkey","sequence":"additional","affiliation":[{"name":"Division of Child Health Obstetrics &amp; 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