# Clinical validation of non-contact vital signs in an emergency department setting

**Authors:** Amit S. Padaki, Alexa L. Zarzour, Kelly R. Keene, Carlo A. Canepa, Dana R. Levin, Erik L. Antonsen

PMC · DOI: 10.3389/fmedt.2025.1728913 · Frontiers in Medical Technology · 2026-01-20

## TL;DR

This study shows that camera devices can accurately measure heart rate and breathing rate in emergency departments.

## Contribution

The study validates non-contact measurement of vital signs using commercial cameras and software in a real-world emergency setting.

## Key findings

- Camera-acquired heart rate had a high correlation (R∼0.99) and low error (RMSE of 1.62).
- Respiratory rate measurements also showed strong correlation (R∼0.91) and acceptable error (RMSE of 1.71).
- The cameras captured HR in 83% and RR in 94% of measurements.

## Abstract

To evaluate the accuracy of heart rate and respiratory rate acquired by commercially-available device cameras and software.

One-hundred and eleven subjects were enrolled at an urban academic teaching hospital in Texas. Heart rate (HR) and respiratory rate (RR) measurements were obtained using three commercially-available cameras and processed using software from Presage Technologies. These values were compared to manual counts of a three-lead ECG and end-tidal CO2 from a patient monitor.

The cameras were able to capture HR in 83% of the measurements and RR in 94% of the RR measurements. Camera-acquired HR showed an extremely high correlation with R∼0.99 and a root-mean-square error (RMSE) of 1.62. Respiratory rate showed a high correlation with R∼0.91 and an RMSE of 1.71.

Heart rate and respiratory rate can be accurately acquired using commercially-available camera devices and software for signal processing.

## Full-text entities

- **Chemicals:** CO2 (MESH:D002245)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12864396/full.md

## References

21 references — full list in the complete paper: https://tomesphere.com/paper/PMC12864396/full.md

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Source: https://tomesphere.com/paper/PMC12864396