- Botonis, Olivia;
- Mendley, Jonathan;
- Aalla, Shreya;
- Veit, Nicole;
- Fanton, Michael;
- Lee, JongYoon;
- Tripathi, Vikrant;
- Pandi, Venkatesh;
- Khobragade, Akash;
- Chaudhary, Sunil;
- Chaudhuri, Amitav;
- Narayanan, Vaidyanathan;
- Xu, Shuai;
- Jeong, Hyoyoung;
- Rogers, John;
- Jayaraman, Arun
The COVID-19 pandemic has challenged the current paradigm of clinical and community-based disease detection. We present a multimodal wearable sensor system paired with a two-minute, movement-based activity sequence that successfully captures a snapshot of physiological data (including cardiac, respiratory, temperature, and percent oxygen saturation). We conducted a large, multi-site trial of this technology across India from June 2021 to April 2022 amidst the COVID-19 pandemic (Clinical trial registry name: International Validation of Wearable Sensor to Monitor COVID-19 Like Signs and Symptoms; NCT05334680; initial release: 04/15/2022). An Extreme Gradient Boosting algorithm was trained to discriminate between COVID-19 infected individuals (n = 295) and COVID-19 negative healthy controls (n = 172) and achieved an F1-Score of 0.80 (95% CI = [0.79, 0.81]). SHAP values were mapped to visualize feature importance and directionality, yielding engineered features from core temperature, cough, and lung sounds as highly important. The results demonstrated potential for data-driven wearable sensor technology for remote preliminary screening, highlighting a fundamental pivot from continuous to snapshot monitoring of cardiorespiratory illnesses.