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结直肠手术中的可穿戴设备:一项范围综述

Wearable Devices in Colorectal Surgery: A Scoping Review.

作者信息

Kavallieros Konstantinos, Karakozis Lampros, Hayward Romilly, Giannas Emmanuel, Selvaggi Lucio, Kontovounisios Christos

机构信息

Department of Surgery and Cancer, Imperial College London, London SW7 2BX, UK.

Department of General Surgery, Chelsea and Westminster Hospital, London SW10 9NH, UK.

出版信息

Cancers (Basel). 2024 Jun 22;16(13):2303. doi: 10.3390/cancers16132303.

DOI:10.3390/cancers16132303
PMID:39001367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11240327/
Abstract

Wearable devices are increasingly utilised to monitor patients perioperatively, allowing for continuous data collection and early complication detection. There is considerable variability in the types and usage settings of wearables, particularly within colorectal surgery. To address this, a scoping review was conducted to investigate current utilisation of wearable devices in colorectal surgery. A systematic search across MEDLINE and Embase was conducted following PRISMA Scoping Review guidelines. Results were synthesised narratively, categorised by perioperative phase (preoperative; postoperative; combination), and supplemented with descriptive statistics and tables. Out of 1525 studies initially identified, 20 were included, reporting data on 10 different wearable devices. Use of wearable devices varied across settings with those used preoperatively tending to focus on baseline physical status or prehabilitation, while postoperative use centred around monitoring and identification of complications. Wearable devices can enhance perioperative monitoring, enable proactive interventions, and promote personalised care for improved patient outcomes in colorectal surgery.

摘要

可穿戴设备越来越多地用于围手术期监测患者,从而实现连续数据收集和早期并发症检测。可穿戴设备的类型和使用场景存在很大差异,尤其是在结直肠手术领域。为了解决这一问题,我们进行了一项范围综述,以调查可穿戴设备在结直肠手术中的当前应用情况。按照PRISMA范围综述指南,我们对MEDLINE和Embase进行了系统检索。结果采用叙述性综合分析,按围手术期阶段(术前;术后;联合)分类,并辅以描述性统计和表格。在最初确定的1525项研究中,纳入了20项,报告了10种不同可穿戴设备的数据。可穿戴设备的使用因场景而异,术前使用的设备往往侧重于基线身体状况或术前康复,而术后使用则围绕并发症的监测和识别。可穿戴设备可以加强围手术期监测,实现积极干预,并促进个性化护理,以改善结直肠手术患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b787/11240327/c91d96098e61/cancers-16-02303-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b787/11240327/966e8eff3814/cancers-16-02303-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b787/11240327/c91d96098e61/cancers-16-02303-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b787/11240327/966e8eff3814/cancers-16-02303-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b787/11240327/c91d96098e61/cancers-16-02303-g002.jpg

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本文引用的文献

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World J Surg. 2024 Apr;48(4):956-966. doi: 10.1002/wjs.12102. Epub 2024 Feb 13.
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Wearable Sensors as a Preoperative Assessment Tool: A Review.可穿戴传感器作为术前评估工具:综述。
Sensors (Basel). 2024 Jan 12;24(2):482. doi: 10.3390/s24020482.
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Impact of wearable wireless continuous vital sign monitoring in abdominal surgical patients: before-after study.
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The Use of Wearable Activity Monitors to Measure Upper Limb Physical Activity After Axillary Lymph Node Dissection and Sentinel Lymph Node Biopsy.使用可穿戴活动监测器来测量腋窝淋巴结清扫和前哨淋巴结活检后的上肢体力活动。
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Remote Home Monitoring of Continuous Vital Sign Measurements by Wearables in Patients Discharged After Colorectal Surgery: Observational Feasibility Study.可穿戴设备对结直肠手术后出院患者连续生命体征测量的远程家庭监测:观察性可行性研究
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