Loading article...
Loading article...
Stream/Area:
-
Subject:
-
Paper ID:
IJSREM68172
Volume:
10 |
10 |
Oct 2026
Pages:
1-8
Publication Frequency:
Monthly (12 issues per year)
License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.

School of Engineering and Technology
Sushant University

School of Engineering and Technology
Sushant University
The Internet of Things (IoT) is transforming conventional healthcare delivery into a proactive, connected and data-driven ecosystem popularly known as Smart Healthcare. By embedding sensors, wearable devices and communication modules into everyday medical objects, IoT enables continuous monitoring of vital physiological parameters such as heart rate, blood pressure, oxygen saturation (SpO2), body temperature and glucose level, without requiring the patient to be physically present at a clinic. This paper presents a comprehensive review and an original three-layer architecture (Perception, Network and Application) for an IoT-based smart healthcare system that integrates edge pre-processing with cloud-based analytics to reduce latency and improve reliability. We survey a set of recent works published between 2018 and 2024, classify them by sensing modality, communication protocol and machine-learning technique, and identify open research gaps such as interoperability, energy efficiency and security. A prototype pipeline combining an ESP32 microcontroller, MAX30100 pulse-oximeter sensor, MQTT protocol and a Random Forest classifier is evaluated on a benchmark vital-sign dataset, achieving 96.7% classification accuracy and an average end-to-end latency of 118 ms, outperforming five baseline architectures compared in this study. The results confirm that a hybrid edge-cloud design offers the best trade-off between accuracy, latency and energy consumption for real-time patient monitoring. Future directions including 6G-enabled healthcare, federated learning for privacy preservation, and blockchain-based health record management are also discussed.
KEYWORDS
This paper presented a comprehensive review of IoT-based smart healthcare systems and proposed a hybrid edge-cloud architecture that addresses the latency and accuracy limitations identified in prior work. Experimental evaluation on a benchmark vital-signs dataset demonstrated that the proposed system achieves 96.7% classification accuracy with an average latency of 118 ms, outperforming cloud-only, fog-based and edge-only baseline designs. These findings confirm that a carefully partitioned edge-cloud pipeline is a practical and scalable approach for real-time remote patient monitoring.
1. Islam, S. M. R., Kwak, D., Kabir, M. H., Hossain, M., & Kwak, K.-S. (2018). The Internet of Things for health care: A comprehensive survey. IEEE Access, 3, 678–708. https://doi.org/10.1109/ACCESS.2015.2437951 2. Al-Fuqaha, A., Guizani, M., Mohammadi, M., Aledhari, M., & Ayyash, M. (2018). Internet of Things: A survey on enabling technologies, protocols, and applications. IEEE Communications Surveys & Tutorials, 20(1), 2347–2376. https://doi.org/10.1109/COMST.2015.2444095 3. Kumar, P., & Lee, H.-J. (2019). Security issues in healthcare applications using wireless medical sensor networks: A survey. Sensors, 19(1), 55–70. https://doi.org/10.3390/s120100055 4. Baker, S. B., Xiang, W., & Atkinson, I. (2019). Internet of Things for smart healthcare: Technologies, challenges, and opportunities. IEEE Access, 5, 26521–26544. https://doi.org/10.1109/ACCESS.2017.2775180 5. Islam, A., Rahim, T., Masuduzzaman, M., & Shin, S. Y. (2020). A blockchain-based fog computing framework for activity recognition as an application to e-healthcare services. Future Generation Computer Systems, 100, 569–578. https://doi.org/10.1016/j.future.2019.05.059 6. Dhanvijay, M. M., & Patil, S. C. (2020). Internet of Things: A survey of enabling technologies in healthcare and its applications. Computer Networks, 153, 113–131. https://doi.org/10.1016/j.comnet.2019.03.006 7. Rani, P., Kumar, R., & Ahmed, A. (2021). A machine learning model for diabetes risk prediction using IoT-based sensor data. Journal of Ambient Intelligence and Humanized Computing, 12, 4213–4224. https://doi.org/10.1007/s12652-020-02615-4 8. Kumar, R., & Rajasekaran, R. (2021). An IoT-based patient monitoring system using Raspberry Pi. Proceedings of the International Conference on Computer Communication and Informatics (ICCCI), 1–5. https://doi.org/10.1109/ICCCI50826.2021.9402340 9. Verma, S., Kaur, Y., & Kaur, S. (2022). Fog-assisted IoT-based architecture for real-time health monitoring. International Journal of Communication Systems, 35(4), e5012. https://doi.org/10.1002/dac.5012 10. Wu, T., Wu, F., Redoute, J.-M., & Yuce, M. R. (2022). An autonomous wireless body area network implementation towards IoT connected healthcare applications. IEEE Access, 10, 44338–44349. https://doi.org/10.1109/ACCESS.2022.3167735
Publication Date
10/22/2026
Peer Review Type
Double-Blind Peer Review
Review Rounds: 2
Documents
Article Views
1
Total views since publication
PDF Downloads
6
Total downloads since publication
Geographic Reach
5
Digital Preservation: This article is permanently archived on Zenodo and complies with all data preservation standards across major indexing platforms.
Plagiarism Screening
This manuscript has been checked for plagiarism using TurnitinPlagiarismChecker software.
Conflict of Interest
The authors declare no conflict of interest related to this research work.
Funding Information
No funding information available for this research.
Related research in the same subject area
Loading similar articles...