de Ree Roy, Willemsen Jorn, Te Grotenhuis Gilbert, de Ree Rick, Kolkert Joé, Peppelman Malou
Department of Health Innovation, Slingeland Hospital, Doetinchem, Gelderland, The Netherlands.
Department of Surgery, Slingeland Hospital, Doetinchem, Gelderland, The Netherlands.
JAMIA Open. 2021 Apr 10;4(2):ooab030. doi: 10.1093/jamiaopen/ooab030. eCollection 2021 Apr.
A new monitoring system was implemented to support nursing staff and physicians on the COVID-19 ward. This system was designed to remotely monitor vital signs, to calculate an automated Early Warning Score, and to help identify patients at risk of deterioration.
Hospitalized patients who tested positive for SARS-CoV-2 were connected to 2 wireless sensors measuring vital signs. Patients were divided into 2 groups based on the occurrence of adverse events during hospitalization. Heart and respiratory rate were monitored continuously and an automated EWS was calculated every 5 minutes. Data were compared between groups.
Prior to the occurrence of adverse events, significantly higher median heart and respiration rate and significantly lower median SPO values were observed. Mean and median automated EWS were significantly higher in patients with an adverse event.
Continuous monitoring systems might help to detect clinical deterioration in COVID-19 patients at an earlier stage.
实施了一种新的监测系统，以支持新冠病房的护理人员和医生。该系统旨在远程监测生命体征，计算自动预警评分，并帮助识别有病情恶化风险的患者。
对新冠病毒检测呈阳性的住院患者连接两个测量生命体征的无线传感器。根据住院期间不良事件的发生情况将患者分为两组。持续监测心率和呼吸频率，每5分钟计算一次自动预警评分。对两组数据进行比较。
在不良事件发生前，观察到心率和呼吸频率的中位数显著更高，而血氧饱和度（SPO）的中位数显著更低。发生不良事件的患者的自动预警评分均值和中位数显著更高。
连续监测系统可能有助于更早地发现新冠患者的临床病情恶化。
