Pilot and Feasibility Deployment of an Advanced Remote Monitoring Platform for COVID-19 in Long-term Care Facilities

Jessica R. Walter MD; Dong-hyun Kim BA; Daniel Myers BA; Marc Hill BA; Brooke Snoll BA; Jong Yoon Lee BA; Elena Kulikova BA; Katherine Fagan BA, MA; Raclyn Cauinian BS; Lily Nguyen BA; Mark Shapiro PhD; Fernanda Heitor MD; Katherine T. O'Brien MD; Shuai Xu MD


J Am Geriatr Soc. 2022;70(4):968-971. 

In This Article

Abstract and Introduction


Older adults in long-term care facilities (LTCFs) are at a significantly higher risk for hospitalization and death due to coronavirus disease 2019 (COVID-19).[1,2] Prolonged stays, close aggregation, and low functional status compound poor prognosis of this vulnerable population.[3] Wearable devices have increasingly emerged as novel tools to track and mitigate outbreaks given continuously collected and wirelessly transmitted physiological data.[4,5] Devices for older adults in LTCFs must consider low technical literacy, medical complexity, cognitive decline, skin fragility, overburdened caregivers, and limited technical staff expertise. Though recent studies have used wearables like AppleWatch and FitBit to identify COVID-19 infections, they systematically underrepresent older adults and fail to measure key symptoms, including cough, fever, and shortness of breath.[4,6] This study evaluated the feasibility of remotely deployed bio-integrated wireless sensors to comprehensively measure vital signs in high-risk, residential older adults.