**5. Conclusions**

Video-based monitoring using an MSD algorithm is a promising method to measure RR in the neonatal population. This preliminary study shows the arc of development and potential equivalency to the current industry standard of ECG induction pneumography. Further work is needed to continue to evaluate the ability of video-based monitors to record clinically relevant apneic events and other sudden physiological changes in comparison with current monitoring standards.

**Author Contributions:** Conceptualization, H.C.L., P.K., J.K.Y. and S.L.R.; methodology, H.C.L., P.K., J.K.Y. and S.L.R; software, C.B. and P.K.; validation, C.B., P.K. and S.L.R.; formal analysis, C.B., P.K., S.L.R. and J.K.Y.; investigation, H.C.L., P.K., C.B., J.K.Y., C.T.-N., J.B. and S.L.R; resources, H.C.L. and P.K.; data curation, H.C.L., C.T.-N., J.B. and S.L.R.; writing—original draft preparation, S.L.R.; writing—review and editing, H.C.L., P.K., C.B., J.K.Y., C.T.-N. and J.B.; visualization, C.B. and P.K.; supervision, H.C.L.; project administration, C.T.-N., J.B; funding acquisition, H.C.L. All authors have read and agreed to the published version of the manuscript.

**Funding:** This project was supported by gran<sup>t</sup> number P30HS023506 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the o fficial views of the Agency for Healthcare Research and Quality.

**Conflicts of Interest:** Authors Chandan Basavaraju and Pavan Kumar were members of a startup company designing a consumer baby monitor with the goal of utilizing the final design of this study. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
