@文章{信息:doi/10.2196/21571，作者="Memon, Ali和Lec, Patrick和Lenis, Andrew和Sharma, Vidit和Wood, Erika和Schade, George和Brisbane, Wayne"，标题="移动数字传感器监测与围手术期结果的关系:系统评价"，期刊="JMIR Perioper Med"，年="2021"，月="2月"，日="25"，卷="4"，数="1"，页数="e21571"，关键词="移动传感器;围手术期;传感器监测;背景:监测手术恢复传统上仅限于医院和临床环境中可测量的指标。然而，商用移动传感器现在能够将测量扩展到患者的家中。由于这些传感器是为非医疗应用开发的，其临床作用尚未确定。本系统综述的目的是评估移动传感器产生的数据与术后结果之间的关系。目的:本研究的目的是描述目前移动传感器在围手术期的使用情况，以及其数据与临床结果之间的相关性。方法:系统检索EMBASE、MEDLINE和Cochrane图书馆，从开始到2019年4月，以确定使用移动传感器监测手术患者的研究。如果传感器收集了病人的步数、温度或心率等指标，则考虑使用传感器。 Studies were included if patients underwent major surgery (≥1 inpatient postoperative day), patients were monitored using mobile sensors in the perioperative period, and the study reported postoperative outcomes (ie, complications and hospital readmission). For studies including step count, a pooled analysis of the step count per postoperative day was calculated for the complication and noncomplication cohorts using mean and a random-effects linear model. The Grading of Recommendations, Assessment, Development, and Evaluation tool was used to assess study quality. Results: From 2209 abstracts, we identified 11 studies for review. Reviewed studies consisted of either prospective observational cohorts (n=10) or randomized controlled trials (n=1). Activity monitors were the most widely used sensors (n=10), with an additional study measuring temperature, respiratory rate, and heart rate (n=1). Low step count was associated with worse postoperative outcomes. A median step count of around 1000 steps per postoperative day was associated with adverse surgical outcomes. Within the studies, there was heterogeneity between the type of surgery and type of reported postoperative outcome. Conclusions: Despite significant heterogeneity in the type of surgery and sensors, low step count was associated with worse postoperative outcomes across surgical specialties. Further studies and standardization are needed to assess the role of mobile sensors in postoperative care, but a threshold of approximately 1000 steps per postoperative day warrants further investigation. ", issn="2561-9128", doi="10.2196/21571", url="https://periop.www.mybigtv.com/2021/1/e21571", url="https://doi.org/10.2196/21571", url="http://www.ncbi.nlm.nih.gov/pubmed/33629966" }