Institute of Systems and Robotics, Department of Electrical Engineering, University of Coimbra, 3030-290 Coimbra, Portugal.
Sensors (Basel). 2020 Nov 29;20(23):6835. doi: 10.3390/s20236835.
This article reviews recent advances and existing challenges for the application of wearable bioelectronics for patient monitoring and domiciliary hospitalization. More specifically, we focus on technical challenges and solutions for the implementation of wearable and conformal bioelectronics for long-term patient biomonitoring and discuss their application on the Internet of medical things (IoMT). We first discuss the general architecture of IoMT systems for domiciliary hospitalization and the three layers of the system, including the sensing, communication, and application layers. In regard to the sensing layer, we focus on current trends, recent advances, and challenges in the implementation of stretchable patches. This includes fabrication strategies and solutions for energy storage and energy harvesting, such as printed batteries and supercapacitors. As a case study, we discuss the application of IoMT for domiciliary hospitalization of COVID 19 patients. This can be used as a strategy to reduce the pressure on the healthcare system, as it allows continuous patient monitoring and reduced physical presence in the hospital, and at the same time enables the collection of large data for posterior analysis. Finally, based on the previous works in the field, we recommend a conceptual IoMT design for wearable monitoring of COVID 19 patients.
本文综述了可穿戴生物电子学在患者监测和家庭住院中的应用的最新进展和现有挑战。更具体地说，我们专注于可穿戴和贴合生物电子学的实现的技术挑战和解决方案，用于长期患者生物监测，并讨论它们在医疗物联网（IoMT）中的应用。我们首先讨论了家庭住院的 IoMT 系统的一般架构和系统的三个层次，包括传感、通信和应用层。关于传感层，我们专注于可伸缩贴片的实现中的当前趋势、最新进展和挑战。这包括制造策略和储能和能量收集的解决方案，如印刷电池和超级电容器。作为案例研究，我们讨论了 IoMT 在 COVID-19 患者家庭住院中的应用。这可以用作减轻医疗保健系统压力的策略，因为它允许对患者进行持续监测，减少在医院的身体存在，同时能够收集大量数据进行后续分析。最后，基于该领域的先前工作，我们为 COVID-19 患者的可穿戴监测推荐了一种概念性的 IoMT 设计。
