Diao James A, Marwaha Jayson S, Kvedar Joseph C
Program in Health Sciences and Technology, Harvard Medical School, Boston, MA, USA.
Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.
NPJ Digit Med. 2022 Mar 7;5(1):26. doi: 10.1038/s41746-022-00575-z.
The vital signs—temperature, heart rate, respiratory rate, and blood pressure—are indispensable in clinical decision-making. These metrics are widely used to identify physiologic decline and prompt investigation or intervention. Vital sign monitoring is particularly important in acute care settings, where patients are at higher risk and may require additional vigilance. Conventional contact-based devices, while widespread and generally reliable, can be inconvenient or disruptive to patients, families, and staff. Non-contact, video-based methods present a more flexible and information-dense alternative that may enable creative improvements to patient care. Still, these approaches are susceptible to several sources of bias and require rigorous clinical validation. A recent study by Jorge et al. demonstrates that video-based monitoring can reliably capture heart rate and respiratory rate and overcome many potential sources of bias in post-operative settings. This presents real-world evaluation of a practical, noninvasive, and continuous monitoring technology that had previously only been tested in controlled settings.
生命体征——体温、心率、呼吸频率和血压——在临床决策中不可或缺。这些指标被广泛用于识别生理衰退并促使进行调查或干预。生命体征监测在急性护理环境中尤为重要,因为在这些环境中患者面临的风险更高,可能需要额外的警惕。传统的基于接触的设备虽然广泛使用且通常可靠,但可能给患者、家属和工作人员带来不便或干扰。非接触式、基于视频的方法提供了一种更灵活且信息丰富的替代方案,可能会为患者护理带来创新性改进。不过,这些方法容易受到多种偏差来源的影响,需要进行严格的临床验证。豪尔赫等人最近的一项研究表明,基于视频的监测能够可靠地获取心率和呼吸频率,并克服术后环境中许多潜在的偏差来源。这展示了对一种实用、无创且连续监测技术的实际评估,该技术此前仅在受控环境中进行过测试。