Han Wei, Yuan Jin-Yang, Li Rui, Yang Le, Fang Jia-Qin, Fan Hao-Jun, Hou Shi-Ke
Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin, China.
Emergency Department of Shenzhen University General Hospital, Shenzhen, Guangdong, China.
Front Med (Lausanne). 2023 Aug 1;10:1190125. doi: 10.3389/fmed.2023.1190125. eCollection 2023.
This study aims to explore the efficiency and effectiveness of a body area network-based smart bracelet for trauma care prior to hospitalization.
To test the efficacy of the bracelet, an observational cohort study was conducted on the clinical data of 140 trauma patients pre-admission to the hospital. This study was divided into an experimental group receiving smart bracelets and a control group receiving conventional treatment. Both groups were randomized using a random number table. The primary variables of this study were as follows: time to first administration of life-saving intervention, time to first administration of blood transfusion, time to first administration of hemostatic drugs, and mortality rates within 24 h and 28 days post-admission to the hospital. The secondary outcomes included the amount of time before trauma team activation and the overall length of patient stay in the emergency room.
The measurement results for both the emergency smart bracelet as well as traditional equipment showed high levels of consistency and accuracy. In terms of pre-hospital emergency life-saving intervention, there was no significant statistical difference in the mortality rates between both groups within 224 h post-admission to the hospital or after 28-days of treatment in the emergency department. Furthermore, the treatment efficiency for the group of patients wearing smart bracelets was significantly better than that of the control group with regard to both the primary and secondary outcomes of this study. These results indicate that this smart bracelet has the potential to improve the efficiency and effectiveness of trauma care and treatment.
A body area network-based smart bracelet combined with remote 5G technology can assist the administration of emergency care to trauma patients prior to hospital admission, shorten the timeframe in which life-saving interventions are initiated, and allow for a quick trauma team response as well as increased efficiency upon administration of emergency care.
本研究旨在探讨基于体域网的智能手环在创伤患者入院前护理中的效率和效果。
为测试手环的疗效,对140例创伤患者入院前的临床数据进行了观察性队列研究。本研究分为接受智能手环的实验组和接受传统治疗的对照组。两组均使用随机数字表进行随机分组。本研究的主要变量如下:首次进行挽救生命干预的时间、首次输血的时间、首次使用止血药物的时间以及入院后24小时和28天内的死亡率。次要结果包括创伤团队启动前的时间以及患者在急诊室的总停留时间。
应急智能手环和传统设备的测量结果均显示出高度的一致性和准确性。在院前急救生命干预方面,两组患者在入院后24小时内或急诊科治疗28天后的死亡率无显著统计学差异。此外,就本研究的主要和次要结果而言,佩戴智能手环的患者组的治疗效率明显优于对照组。这些结果表明,这种智能手环有潜力提高创伤护理和治疗的效率和效果。
基于体域网的智能手环结合远程5G技术可以在创伤患者入院前协助进行急救护理,缩短启动挽救生命干预的时间框架,并实现创伤团队的快速响应以及提高急救护理的效率。