穿戴式衍生脉率变异与儿科尾切除术并发症的关联
J Benjamin Pitt1, Michela Carter1, Suhail Zeineddin1
1Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Journal of pediatric surgery
|October 26, 2024
概括
消费者可穿戴设备提供脉冲率变化 (PRVi) 数据,这是一种用于检测儿科外科并发症的数字生物标志物. 尾切除术后出现并发症的儿童在出院后的PRVi增加速度较慢.
科学领域:
- 儿科手术 儿科手术
- 数字健康数字健康
- 生物标志物 生物标志物
背景情况:
- 儿童手术后康复的监测对于医院出院后的父母来说是一个挑战.
- 消费者可穿戴设备 (CWD) 提供有效的实时脉冲率数据和脉冲率可变性 (PRVi).
- PRVi可以作为一个数字生物标志物,用于早期检测出院后并发症.
研究的目的:
- 调查CWD衍生的PRVi轨迹是否在患有外科并发症的儿科尾切除患者中有所不同.
- 探索PRVi作为儿童手术恢复的客观数字生物标志物.
主要方法:
- 对儿童 (3-17岁) 进行尾切除术以复杂的尾炎的回顾性分析.
- 参与者在术后21天内佩戴Fitbit设备.
- 计算了每日平均PRVi,并将有并发症和没有并发症的患者进行了比较.
主要成果:
- 98名患者被录取;11%的人出现了手术并发症.
- 患有并发症的患者在21天的康复期中,平均PRVi的增加速度较慢.
- 来自CWD的PRVi数据显示了基于并发症状况的不同恢复轨迹.
结论:
- 从CWD数据中获得的PRVi是一种可行的客观数字生物标志物,用于对儿童手术并发症进行分析.
- 这为临床医生提供了加强术后监测和主动并发症管理的工具.
- 可穿戴设备数据可以改善儿科患者手术并发症的检测和管理.
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