整合一个多模式数字设备,用于在肺癌患者进行胸部手术的持续外科监测:开发和可用性研究
Runchen Wang1, Jianqi Zheng1, Wenwei Guo1
1Department of Thoracic Surgery, China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
多模式数字设备,包括可穿戴设备和电子患者报告结果 (ePRO),可靠地监测胸部手术后的患者. 这项技术增强了持续的术后护理,并改善了康复结果.
科学领域:
- 数字健康数字健康
- 胸部外科手术 胸部外科手术
- 患者监测 患者监测
背景情况:
- 微创胸部手术改善了结果,但需要更好的术后护理.
- 传统的插曲性护理限制了及时监测患者.
- 数字设备为胸部手术患者提供了增强的监控解决方案.
研究的目的:
- 评估多模式数字设备的可行性和可靠性,以进行持续的外科手术期间监测.
- 使用可穿戴设备和ePROs增强胸部手术后患者的康复.
- 对电子健康记录进行数字监测的准确性进行评估.
主要方法:
- 一项涉及288名非小细胞肺癌患者的自我控制研究.
- 通过智能手表和ePRO收集的数字数据,以及EHR数据.
- 用了布兰德-阿尔特曼分析来检测设备-EHR协议,以及时间序列分析来检测异常值.
主要成果:
- 数字设备提供了准确的恢复轨迹洞察力.
- 在温度,心率和氧和方面,数字设备和电子健康记录之间观察到很高的一致性.
- 可穿戴设备有效地检测出异常值,并与ePRO的严重程度相关联.
结论:
- 基于数字设备的多式联络系统可靠,可改善手术后的康复.
- 这些系统为持续的术后监测提供了一种新的方法.
- 数字工具在胸部手术恢复中的临床潜力已被证明.
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