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Related Experiment Video

Updated: Oct 20, 2025

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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Post-Operative Remote Monitoring for Same-Day Discharge Elective Orthopedic Surgery: A Pilot Study.

Vibav H Mouli1, Christopher X Carrera1, Natalie Schudrowitz1

  • 1Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

Sensors (Basel, Switzerland)
|September 10, 2021
PubMed
Summary

This pilot study shows that remote monitoring of blood pressure and heart rate is feasible and satisfactory for patients after same-day discharge joint replacement surgery. The technology enables safe mobilization at home by managing potential hypotension.

Keywords:
TJAbiomedical instrumentationblood pressuremobilitynoninvasivetotal joint arthroplastyvital sign monitoringwearable

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Area of Science:

  • Orthopedic Surgery
  • Digital Health
  • Patient Monitoring

Background:

  • Same-day discharge (SDD) joint replacement aims to reduce hospital stays.
  • Post-operative monitoring is crucial for safe patient mobilization at home.
  • Digital remote monitoring offers a potential solution for continuous patient oversight.

Purpose of the Study:

  • To evaluate the usability and patient satisfaction with a wireless blood pressure (BP) and heart rate (HR) monitor.
  • To determine if remote monitoring data can facilitate safe home mobilization after SDD joint replacement.
  • To assess the effectiveness of a hydration protocol for managing post-operative hypotension.

Main Methods:

  • A pilot study involving 23 SDD joint replacement patients (UKA, TKA, THA).
  • Utilized a cellular BP/HR monitor for real-time data capture post-surgery.
  • Patients followed a specific protocol for monitoring, hydration, and delayed ambulation if needed, alongside home coaching.

Main Results:

  • 100% of surveyed patients reported successful device operation, with high ease-of-use (8.9/10) and satisfaction with coaching (9.7/10).
  • 8.4/10 believed the protocol improved safety.
  • 27.8% experienced hypotensive readings and appropriately delayed ambulation, managed effectively through the protocol.

Conclusions:

  • Remote monitoring is feasible and satisfactory for patients undergoing SDD arthroplasty.
  • The wireless BP/HR monitoring system supports safe mobilization at home.
  • The standardized hydration protocol effectively managed hypotension, ensuring patient safety.