来自消费者可穿戴设备的生物节奏预测了儿童手术后并发症
Rui Hua1,2, Michela Carter3, Megan K O'Brien1,2
1Shirley Ryan AbilityLab, Chicago, IL 60611, USA.
Science advances
|July 9, 2025
概括
可穿戴设备可以通过分析生物节律来早期检测儿科术后并发症. 这项技术提供了客观的康复监测,改善了患者的结果,并使及时干预成为可能.
科学领域:
- 生物医学工程 生物医学工程
- 儿科手术 儿科手术
- 数字健康数字健康
背景情况:
- 儿童手术后并发症对健康有重大风险.
- 目前用于检测出院后并发症的方法依赖于主观报告,延迟诊断.
- 可穿戴设备为早期发现并发症提供客观,持续的监测.
研究的目的:
- 调查生物节律指标和儿科术后康复之间的关系.
- 评估可穿戴设备衍生生物节律对预测儿童并发症的有用性.
- 探索不引人注目的监测的潜力,以提高儿科外科护理.
主要方法:
- 103名接受尾切除的儿童在手术后21天内使用可穿戴设备进行监测.
- 从活动和心率数据中提取了生物节律指标 (昼夜和超昼夜节律).
- 开发了一种机器学习模型,使用生物节律数据预测术后并发症.
主要成果:
- 机器学习模型在临床诊断前3天准确预测了术后并发症.
- 该模型在并发症检测中实现了91%的灵敏度和74%的特异性.
- 穿戴式衍生生物节律与康复状态有很强的相关性.
结论:
- 穿戴式生物节律提供了一个有希望的,客观的方法来监测儿科术后康复.
- 这项技术可以提前检测并发症,改善患者的治疗结果.
- 该方法在各种临床环境中对儿科健康监测具有重大潜力.
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