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消费者可穿戴设备在耳鼻喉科患者监测中的应用:现状综述。

Consumer Wearables for Patient Monitoring in Otolaryngology: A State of the Art Review.

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.

出版信息

Otolaryngol Head Neck Surg. 2022 Oct;167(4):620-631. doi: 10.1177/01945998211061681. Epub 2021 Nov 23.

Abstract

OBJECTIVE

Consumer wearables, such as the Apple Watch or Fitbit devices, have become increasingly commonplace over the past decade. The application of these devices to health care remains an area of significant yet ill-defined promise. This review aims to identify the potential role of consumer wearables for the monitoring of otolaryngology patients.

DATA SOURCES

PubMed.

REVIEW METHODS

A PubMed search was conducted to identify the use of consumer wearables for the assessment of clinical outcomes relevant to otolaryngology. Articles were included if they described the use of wearables that were designed for continuous wear and were available for consumer purchase in the United States. Articles meeting inclusion criteria were synthesized into a final narrative review.

CONCLUSIONS

In the perioperative setting, consumer wearables could facilitate prehabilitation before major surgery and prediction of clinical outcomes. The use of consumer wearables in the inpatient setting could allow for early recognition of parameters suggestive of poor or declining health. The real-time feedback provided by these devices in the remote setting could be incorporated into behavioral interventions to promote patients' engagement with healthy behaviors. Various concerns surrounding the privacy, ownership, and validity of wearable-derived data must be addressed before their widespread adoption in health care.

IMPLICATIONS FOR PRACTICE

Understanding how to leverage the wealth of biometric data collected by consumer wearables to improve health outcomes will become a high-impact area of research and clinical care. Well-designed comparative studies that elucidate the value and clinical applicability of these data are needed.

摘要

目的

在过去的十年中,消费者可穿戴设备(如 Apple Watch 或 Fitbit 设备)变得越来越普遍。这些设备在医疗保健中的应用仍然是一个具有巨大潜力但尚未明确的领域。本综述旨在确定消费者可穿戴设备在耳鼻喉科患者监测中的潜在作用。

资料来源

PubMed。

综述方法

通过 PubMed 搜索,确定了消费者可穿戴设备在评估与耳鼻喉科相关的临床结果方面的应用。如果文章描述了可穿戴设备的使用情况,这些设备是为连续佩戴而设计的,并且可以在美国购买到,则将其纳入研究。符合纳入标准的文章被综合为最终的叙述性综述。

结论

在围手术期,消费者可穿戴设备可以促进重大手术前的康复和临床结果预测。在住院环境中使用消费者可穿戴设备可以及早识别出提示健康状况不佳或下降的参数。这些设备在远程环境中提供的实时反馈可以纳入行为干预措施,以促进患者参与健康行为。在广泛应用于医疗保健之前,必须解决与可穿戴设备数据的隐私、所有权和有效性相关的各种问题。

意义

了解如何利用消费者可穿戴设备收集的大量生物识别数据来改善健康结果,将成为研究和临床护理的一个具有高影响力的领域。需要设计良好的比较研究来阐明这些数据的价值和临床适用性。

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