可穿戴设备作为术后早期预警评分系统的一部分:范围审查
E G Bignami1, M Panizzi2, F Bezzi2
1Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126, Parma, Italy. elenagiovanna.bignami@unipr.it.
Journal of clinical monitoring and computing
|October 8, 2024
概括
集成到连续远程预警分数 (CREWS) 系统中的可穿戴设备 (WDs) 提供了可行的和安全的术后监测. 这项技术有助于早期发现并发症,可能减少住院时间和费用.
科学领域:
- 医疗技术 医疗技术 医学技术
- 数字健康数字健康
- 手术护理 手术护理
背景情况:
- 有限的资源阻碍了非ICU外科手术患者的持续生命体征监测.
- 手术后的恶化通常跟随微妙的生命参数异常.
- 可穿戴设备 (WDs) 为远程术后监测提供了一种新的解决方案.
研究的目的:
- 审查WD在连续远程预警分数 (CREWS) 系统中的当前应用.
- 评估手术室手术后监测设备的效率和安全性.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 从2018年到2024年2月进行系统的文献搜索 (PubMed,MEDLINE,Embase)
- 包括对心脏和非心脏手术患者的前性和后性研究.
主要成果:
- 分析了10件物品,使用了11种不同的CE/FDA批准的WDs.
- 在手术当天应用的WD被证明是可行的,并且对CREWS来说是安全的.
- 与LoRa和AI的整合减少了住院时间 (LOS) 和ICU入院,降低了成本.
结论:
- 在CREWS系统中的WD是连续术后监测的可行工具.
- 早期识别并发症得到了加强,改善了患者的治疗结果.
- 这种方法支持新的协议和临床实施,以提供具有成本效益的外科护理.
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