a Department of Surgery and Cancer , Imperial College London , London , UK.
b Department of Cardiology , West Middlesex University Hospital , Isleworth , UK.
Expert Rev Med Devices. 2019 Feb;16(2):145-154. doi: 10.1080/17434440.2019.1563480. Epub 2019 Jan 6.
Monitoring a patient's vital signs forms a basic component of care, enabling the identification of deteriorating patients and increasing the likelihood of improving patient outcomes. Several paper-based track and trigger warning scores have been developed to allow clinical evaluation of a patient and guidance on escalation protocols and frequency of monitoring. However, evidence suggests that patient deterioration on hospital wards is still missed, and that patients are still falling through the safety net. Wearable sensor technology is currently undergoing huge growth, and the development of new light-weight wireless wearable sensors has enabled multiple vital signs monitoring of ward patients continuously and in real time.
In this paper, we aim to closely examine the benefits of wearable monitoring applications that measure multiple vital signs; in the context of improving healthcare and delivery. A review of the literature was performed.
Findings suggest that several sensor designs are available with the potential to improve patient safety for both hospital patients and those at home. Larger clinical trials are required to ensure both diagnostic accuracy and usability.
监测患者的生命体征是护理的基本组成部分,能够识别病情恶化的患者,并提高改善患者预后的可能性。已经开发了几种基于纸张的跟踪和触发警告评分,以允许对患者进行临床评估,并指导升级协议和监测频率。然而,有证据表明,医院病房的患者病情恶化仍然会被忽视,患者仍然会脱离安全网。可穿戴传感器技术目前正在经历巨大的发展,新型轻量级无线可穿戴传感器的开发使得对病房患者的多项生命体征进行连续实时监测成为可能。
本文旨在详细研究测量多项生命体征的可穿戴监测应用程序在改善医疗保健和服务方面的益处。对文献进行了回顾。
研究结果表明,有几种传感器设计具有提高医院患者和在家患者安全性的潜力。需要更大规模的临床试验来确保诊断准确性和可用性。