Endometriosis and Adenomyosis Care Collaborative, Center for Minimally Invasive Gynecologic Surgery, Newton-Wellesley Hospital, Newton (Drs. Loring and Isaacson, and Ms. Ephraim).
Computer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology, Cambridge (Drs. Kabelac, Munir, Rahul, and Katabi, and Mr. Yue).
J Minim Invasive Gynecol. 2021 Feb;28(2):325-331. doi: 10.1016/j.jmig.2020.06.011. Epub 2020 Jun 29.
To assess the feasibility of a noncontact radio sensor as an objective measurement tool to study postoperative recovery from endometriosis surgery.
Prospective cohort pilot study.
Center for minimally invasive gynecologic surgery at an academically affiliated community hospital in conjunction with in-home monitoring.
Patients aged above 18 years who sleep independently and were scheduled to have laparoscopy for the diagnosis and treatment of suspected endometriosis.
A wireless, noncontact sensor, Emerald, was installed in the subjects' home and used to capture physiologic signals without body contact. The device captured objective data about the patients' movement and sleep in their home for 5 weeks before surgery and approximately 5 weeks postoperatively. The subjects were concurrently asked to complete a daily pain assessment using a numeric rating scale and a free text survey about their daily symptoms.
Three women aged 23 years to 39 years and with mild to moderate endometriosis participated in the study. Emerald-derived sleep and wake times were contextualized and corroborated by select participant comments from retrospective surveys. In addition, self-reported pain levels and 1 sleep variable, sleep onset to deep sleep time, showed a significant (p <.01), positive correlation with next-day-pain scores in all 3 subjects: r = 0.45, 0.50, and 0.55. In other words, the longer it took the subject to go from sleep onset to deep sleep, the higher their pain score the following day.
A patient's experience with pain is challenging to meaningfully quantify. This study highlights Emerald's unique ability to capture objective data in both preoperative functioning and postoperative recovery in an endometriosis population. The utility of this uniquely objective data for the clinician-patient relationship is just beginning to be explored.
评估非接触式无线电传感器作为研究子宫内膜异位症手术后恢复的客观测量工具的可行性。
前瞻性队列初步研究。
学术附属社区医院的微创妇科手术中心，结合家庭监测。
年龄在 18 岁以上、能够独立睡眠且计划接受腹腔镜检查以诊断和治疗疑似子宫内膜异位症的患者。
在患者家中安装一个无线、非接触式传感器 Emerald，用于在不接触身体的情况下捕获生理信号。该设备在手术前大约 5 周和手术后大约 5 周期间，在患者家中连续记录其运动和睡眠的客观数据。同时要求患者使用数字评分量表进行日常疼痛评估，并使用自由文本调查他们的日常症状。
3 名年龄在 23 岁至 39 岁之间、患有轻度至中度子宫内膜异位症的女性参与了该研究。Emerald 得出的睡眠和清醒时间与参与者从回顾性调查中提供的精选评论相吻合。此外，自我报告的疼痛水平和 1 个睡眠变量（入睡到深睡眠时间）在所有 3 名患者中与次日疼痛评分呈显著（p<.01）正相关：r=0.45、0.50 和 0.55。换句话说，患者从入睡到进入深睡眠所需的时间越长，他们第二天的疼痛评分就越高。
患者的疼痛体验难以进行有意义的量化。本研究强调了 Emerald 独特的能力，可在子宫内膜异位症患者中捕获术前功能和术后恢复的客观数据。这种独特的客观数据对医患关系的实用性才刚刚开始被探索。
