在一般病房的可穿戴无线连续生命体征监测
Jobbe Pl Leenen1,2, Lisette Schoonhoven3,4, Gijs A Patijn1,5
1Connected Care Centre, Isala, Zwolle.
Current opinion in critical care
|May 1, 2024
概括
使用可穿戴传感器的持续生命体征监测 (CVSM) 显示出在一般病房中早期检测患者恶化的前景. 然而,目前在准确性,可用性和整合方面的挑战限制了已证明的临床结果的改善.
科学领域:
- 生物医学工程 生物医学工程
- 临床信息学 临床信息学
- 患者监测 患者监测
背景情况:
- 连续生命体征监测 (CVSM) 的可穿戴无线传感器为一般病房的早期患者恶化检测提供了潜力.
- 审查侧重于可穿戴CVSM系统的技术进步,用户观点和患者结果的影响.
研究的目的:
- 对一般病房的可穿戴CVSM系统的最新证据进行审查.
- 突出技术特征,用户观点和患者结果的影响.
主要方法:
- 对可穿戴CVSM的最新证据进行系统审查.
- 技术特征,可用性和临床影响的分析.
主要成果:
- 传感器的准确性各不相同,特别是在门诊患者中; 缺乏验证协议.
- 护士和患者的可用性至关重要;需要与医院IT和工作流程自动化集成.
- 观察到的ICU入院和快速反应小组呼叫的减少缺乏强大的统计学意义.
结论:
- 在一般病房可能会广泛实施CVSM.
- 尽管有理论上的好处,但已证明的临床效果是混合的,在数据质量,可用性和集成方面存在挑战.
- 需要强有力的证据来支持CVSM对患者结果,工作流程和成本效益的影响.
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