Feinberg School of Medicine, Chicago, Illinois, USA.
Querrey Simpson Institute for Bioelectronics, Chicago, Illinois, USA.
Paediatr Anaesth. 2023 Aug;33(8):670-672. doi: 10.1111/pan.14684. Epub 2023 Apr 27.
More than 40,000 children undergo surgical interventions annually for the treatment of congenital heart defects. Intraoperative and postoperative vital sign monitoring is a cornerstone of pediatric care.
A single-arm prospective observational study was performed. Pediatric patients undergoing a procedure with a planned admission to the Cardiac Intensive Care Unit at Lurie Children's Hospital (Chicago, IL) were eligible for enrollment. Participant vital signs were monitored using standard equipment and an FDA-cleared experimental device (ANNE ) consisting of a wireless patch positioned at the suprasternal notch and index finger or foot. The primary goal of the study was to assess real-world feasibility of wireless sensors in pediatric patients with congenital cardiac defects.
A total of 13 patients were enrolled, ranging in age from 4 months to 16 years with a median age of 4 years. Overall, 54% (n = 7) were female and the most common anomaly in the cohort was an atrial septal defect (n = 6). The mean admission length was 3 days (range 2-6), resulting in more than 1000 h of vital sign monitoring (⟩60,000 data points). Bland-Altman plots were generated for heart rate and respiratory rate to assess beat-to-beast differences between the standard equipment and the experimental sensors.
Novel, wireless, flexible sensors demonstrated comparable performance to standard monitoring equipment in a cohort of pediatric patients with congenital cardiac heart defects undergoing surgery.
每年有超过 40,000 名儿童接受手术干预，以治疗先天性心脏缺陷。术中及术后生命体征监测是儿科护理的基石。
进行了一项单臂前瞻性观察性研究。在伊利诺伊州芝加哥 Lurie 儿童医院接受计划入住心脏重症监护病房的心脏手术的儿科患者有资格入组。使用标准设备和经过 FDA 批准的实验设备（ANNE）监测参与者的生命体征，该设备由位于胸骨上切迹和食指或脚趾的无线贴片组成。该研究的主要目标是评估无线传感器在患有先天性心脏缺陷的儿科患者中的实际可行性。
共纳入 13 名患者，年龄从 4 个月到 16 岁，中位数年龄为 4 岁。总体而言，54%（n=7）为女性，队列中最常见的异常是房间隔缺损（n=6）。平均住院时间为 3 天（范围 2-6 天），共监测了超过 1000 小时的生命体征（⟩60,000 个数据点）。生成心率和呼吸率的 Bland-Altman 图，以评估标准设备和实验传感器之间的逐搏差异。
在接受心脏手术的先天性心脏缺陷儿科患者队列中，新型无线灵活传感器与标准监测设备具有相当的性能。
