Table 2 Comparative analysis of the proposed framework with existing SOTA frameworks.

From: A secured remote patient monitoring framework for IoMT ecosystems

Authors

Year

Dew

Fog

Edge

Cloud

Performance Metrics

Advantages

Limitations

Application Area

The proposed scheme

2024

Y

Y

N

Y

Response time, energy, bandwidth

Low latency, enhanced security, scalability

Increased orchestration complexity

Health-care IoMT

Vinu and Diwan22

2024

Y

Y

N

N

Consensus delay, throughput

Decentr-alized, secure via blockchain

High consensus overhead

General IoT

Zhao et al.23

2024

Y

Y

N

Y

Cache hit ratio, latency reduction

Efficient caching, improved network performance

Limited to caching improvements

Smart cities IoT

Ghosh and De24

2023

Y

N

Y

Y

Delay reduction (28%), energy savings (12%)

Reduced network delay and power consumption

Reliant on stable D2D communication

Wirele-ss networks

Karm-akar et al.25

2022

Y

N

Y

Y

Data synchronization efficiency

Effective synchronization using statistical measures

Scalability issues in heterogeneous settings

Internet of Health Things (IoHT)

Podder et al.26

2022

Y

N

Y

Y

Prediction accuracy, latency

Lightweight CNN, enhanced gradient propagation

Dataset-specific tuning may be needed

Health-care biosignal monitoring

Afaq and Manoc-ha27

2022

Y

Y

N

Y

Precision, recall, accuracy

Effective prediction using GRU and Naïve Bayes

Limited generalizability across conditions

Health-care diagnostics

Poonia et al.28

2021

Y

Y

N

Y

Bandwidth usage, scalability

Real-time performance, scalable design

Complex multi-layer coordination

COVID-19 management, Healthcare IoT

Mukher-jee et al.29

2021

Y

N

Y

Y

Communic-ation delay, success rate

Improved connectivity and caching in UAV networks

Limited to UAV-supported scenarios

Smart cities, UAV-based IoT

Jung-yeon and Kaddoum30

2021

N

N

N

N

Offloading efficiency, resource utilization

Adaptive resource allocation via DRQN

Not applicable for dew-based scenarios

General fog computing in IoT

Zhou et al.31

2020

N

Y

N

N

Long-term delay reduction

Adaptive offloading based on task properties

May underperform in volatile environments

Task offloading in IoT

Fan et al.32

2020

N

Y

N

N

Offloading latency, resource allocation

Effective D2D pairing and offloading

Depends on proximity and D2D availability

Edge computing in IoT

Yang et al.33

2019

N

Y

N

N

Task completion time

Efficient paired offloading

Scalability may be limited

Fog computing in IoT

Lan et al.34

2019

N

Y

N

N

Resource allocation efficiency

Fair allocation using statistical measures

Complexity increases with user numbers

Resou-rce management in IoT

Li et al.35

2019

N

Y

N

N

Energy consumption, offloading delay

Energy efficiency

Overhead due to offloading computation

Energy constr-ained IoT

Mutlag et al.36

2019

N

Y

N

N

Scalability, real-time performance

Real-time scalability

High resource costs in large systems

E-health services

Sodhro et al.37

2019

N

N

Y

Y

Service placement efficiency

Geo-distributed intelligence improves service quality

Complex deployment strategy

Health-care IoT networks

Ray et al.38

2019

Y

N

N

Y

Real-time context analysis

Context-aware decisions at dew level

Limited scalability in extensive networks

Context-aware IoT applications

Rahm-an et al.39

2018

N

Y

N

Y

Local processing speed, storage efficiency

Provides real-time local processing

Dependent on gateway capacity

Embe-dded IoT applications