Wearable devices as part of postoperative early warning score systems: a scoping review.

J Clin Monit Comput

Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126, Parma, Italy.

Published: October 2024

AI Article Synopsis

  • Postoperative deterioration can be indicated by changes in vital signs, but many hospitals lack resources for continuous monitoring outside of ICUs, prompting the use of wearable devices (WDs) for patient monitoring.
  • A Scoping Review was conducted using various databases to analyze the effectiveness of WDs as part of Continuous Remote Early Warning Score (CREWS) systems in monitoring patients after cardiac and non-cardiac surgeries, resulting in 10 studies featuring 11 CE/FDA approved devices.
  • The findings suggest that WDs are not only feasible and safe for monitoring but also help reduce the length of hospital stays and ICU admissions, leading to lower healthcare costs and better identification of potential complications post-surgery

Article Abstract

Postoperative deterioration is often preceded by abnormalities in vital parameters, but limited resources prevent their continuous monitoring in patients with no indication to ICU admission. The development of new technologies allowed the introduction of wearable devices (WDs), enabling the possibility of postoperative monitoring in surgical wards. We performed a Scoping Review to determine the current use of wearable devices as part of Continuous Remote Early Warning Score (CREWS) systems and their efficiency during postoperative period. This Scoping Review was conducted according to PRISMA-ScR guidelines. PICO framework was used before the search to define the review protocol. Systematic literature research has been performed on PubMed, MeSH, MEDLINE and Embase, considering a period between 2018 and February 2024. Prospective and retrospective studies involving patients undergoing cardiac and non-cardiac surgery are included. A total of 10 articles were included in the review. 11 different CE/FDA approved wearable devices were used in the studies analyzed. In all studies the WDs were applied the day of the surgery. The use of WDs as part of CREWS systems is feasible and safe. Furthermore, with the aid of other technologies (LoRa and Artificial Intelligence), they shorten Length of Stay (LOS) and reduce the number of ICU admissions with a reduction in healthcare costs. Continuous monitoring in surgical departments can facilitate the correct and timely identification of postoperative complications. This article is a starting point for the development of new protocols and for the application of these monitoring systems in clinical practice.

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Source
http://dx.doi.org/10.1007/s10877-024-01224-4DOI Listing

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