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新冠疫情时代的生命体征生物计量监测技术评估。

An Evaluation of Biometric Monitoring Technologies for Vital Signs in the Era of COVID-19.

机构信息

Elektra Labs, Boston, Massachusetts, USA.

Digital Medicine Society, Boston, Massachusetts, USA.

出版信息

Clin Transl Sci. 2020 Nov;13(6):1034-1044. doi: 10.1111/cts.12874. Epub 2020 Oct 12.

Abstract

The novel coronavirus disease 2019 (COVID-19) global pandemic has shifted how many patients receive outpatient care. Telehealth and remote monitoring have become more prevalent, and measurements taken in a patient's home using biometric monitoring technologies (BioMeTs) offer convenient opportunities to collect vital sign data. Healthcare providers may lack prior experience using BioMeTs in remote patient care, and, therefore, may be unfamiliar with the many versions of BioMeTs, novel data collection protocols, and context of the values collected. To make informed patient care decisions based on the biometric data collected remotely, it is important to understand the engineering solutions embedded in the products, data collection protocols, form factors (physical size and shape), data quality considerations, and availability of validation information. This article provides an overview of BioMeTs available for collecting vital signs (temperature, heart rate, blood pressure, oxygen saturation, and respiratory rate) and discusses the strengths and limitations of continuous monitoring. We provide considerations for remote data collection and sources of validation information to guide BioMeT use in the era of COVID-19 and beyond.

摘要

2019 年新型冠状病毒病(COVID-19)大流行改变了许多患者接受门诊护理的方式。远程医疗和远程监测变得更加普遍,并且使用生物计量监测技术(BioMeTs)在家中对患者进行测量,为收集生命体征数据提供了便利的机会。医疗保健提供者在远程患者护理中可能缺乏使用 BioMeTs 的经验,因此可能不熟悉 BioMeTs 的许多版本、新型数据收集协议以及收集值的上下文。为了根据远程收集的生物计量数据做出明智的患者护理决策,了解产品中嵌入的工程解决方案、数据收集协议、外形因素(物理尺寸和形状)、数据质量注意事项以及验证信息的可用性非常重要。本文概述了可用于收集生命体征(体温、心率、血压、血氧饱和度和呼吸频率)的 BioMeTs,并讨论了连续监测的优势和局限性。我们提供了远程数据收集的注意事项和验证信息来源,以指导 COVID-19 时代及以后的 BioMeT 使用。

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