Dagan Alon, Mechanic Oren J
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Clin Exp Emerg Med. 2020 Sep;7(3):144-149. doi: 10.15441/ceem.19.081. Epub 2020 Sep 30.
In low resource hospitals, strained staffing ratios and lack of telemetry can put patients at risk for clinical deterioration and unexpected cardiac arrest. While traditional telemetry systems can provide real-time continuous vital signs, they are too expensive for widespread use in these settings. At the same time, developed countries such as the United States have been increasingly utilizing remote monitoring systems to shift patient care from hospital to home. While the context is dramatically different, the challenge of monitoring patients in otherwise unmonitored settings is the same. At-home monitoring solutions range from highly comprehensive and expensive systems to inexpensive fitness trackers. In the field of global health, the adoption of this technology has been somewhat limited. We believe that low cost fitness trackers present an opportunity to address the challenge of vital sign monitoring in resource-poor settings at a fraction of the cost of existing technical solutions.
在资源匮乏的医院，紧张的医护人员配比以及缺乏遥测技术会使患者面临临床病情恶化和意外心脏骤停的风险。虽然传统遥测系统能够提供实时连续生命体征数据，但对于在这些环境中广泛使用来说过于昂贵。与此同时，美国等发达国家越来越多地利用远程监测系统将患者护理从医院转移到家中。尽管背景差异巨大，但在原本未受监测的环境中监测患者的挑战是相同的。家庭监测解决方案从高度全面且昂贵的系统到廉价的健身追踪器不等。在全球卫生领域，这项技术的采用受到了一定限制。我们认为，低成本的健身追踪器提供了一个机会，能够以现有技术解决方案成本的一小部分来应对资源匮乏环境中的生命体征监测挑战。
