评估在加拿大商业上可用的发作检测可穿戴设备:当前证据
Yassine Lamrani1, Amirhossein Jahani1,2, Laura Gagliano1
1University of Montreal Hospital Research Center (CRCHUM), Montreal, QC, Canada.
概括
可穿戴的发作检测设备在检测发作方面表现不同,灵敏度从21.0%到98.15%不等. 需要更多的证据来证明它们在监测单元之外的日常生活中的使用.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
- 医疗器械 医疗器械
背景情况:
- 影响全球数以百万计的人,需要改进发作管理策略.
- 可穿戴技术为持续的监测提供了一种新的方法.
- 减少发作相关的不良事件和日常压力对于患有的人来说至关重要.
研究的目的:
- 为了评估商业上可用的可穿戴发作检测设备的性能.
- 为临床医生提供关于这些设备的基于证据的指导.
- 评估可穿戴发作探测器的灵敏度和错误报警率.
主要方法:
- 对八项研究进行系统审查,评估了三种不同的可穿戴发作检测设备.
- 对设备性能指标的分析,包括灵敏度和错误报警率.
- 专注于在加拿大市场上可用的设备.
主要成果:
- 检测焦点-双边和/或通用性强力-克隆性发作的灵敏度差异很大 (21.0%98.15%).
- 24小时的错误报警率从0到1.28.8不等.
- 在监测单位设置中观察到有前途的表现.
结论:
- 可穿戴的发作检测设备显示出潜力,但表现出性能变化.
- 目前的证据不足以推在日常生活中广泛使用,因为门诊数据有限.
- 需要进一步的研究,以确定这些设备在现实世界,非临床环境中的有效性.
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