Department of Electronic Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
IEEE Rev Biomed Eng. 2008;1:62-74. doi: 10.1109/RBME.2008.2008248.
Driven by the growing aging population, prevalence of chronic diseases, and continuously rising healthcare costs, the healthcare system is undergoing a fundamental transformation, from the conventional hospital-centered system to an individual-centered system. Current and emerging developments in wearable medical systems will have a radical impact on this paradigm shift. Advances in wearable medical systems will enable the accessibility and affordability of healthcare, so that physiological conditions can be monitored not only at sporadic snapshots but also continuously for extended periods of time, making early disease detection and timely response to health threats possible. This paper reviews recent developments in the area of wearable medical systems for p-Health. Enabling technologies for continuous and noninvasive measurements of vital signs and biochemical variables, advances in intelligent biomedical clothing and body area networks, approaches for motion artifact reduction, strategies for wearable energy harvesting, and the establishment of standard protocols for the evaluation of wearable medical devices are presented in this paper with examples of clinical applications of these technologies.
在人口老龄化、慢性病患病率不断上升和医疗保健成本持续攀升的推动下,医疗体系正在从传统的以医院为中心的体系向以个人为中心的体系发生根本性转变。可穿戴医疗系统的现有和新兴发展将对这一模式转变产生重大影响。可穿戴医疗系统的进步将使医疗保健能够普及和负担得起,从而不仅可以在零星的快照中监测生理状况,而且还可以长时间连续监测,从而实现早期疾病检测和及时应对健康威胁。本文回顾了用于移动医疗的可穿戴医疗系统的最新发展。本文介绍了用于连续和非侵入性测量生命体征和生化变量的使能技术、智能生物医学服装和体域网的进展、运动伪影减少方法、可穿戴能量收集策略以及可穿戴医疗设备评估的标准协议的建立,并展示了这些技术的临床应用示例。