TY -的盟Memon阿里盟,Lec帕特里克盟,微弱的Andrew AU - Sharma Vidit盟——木材,艾丽卡非盟-谢德,乔治AU -布里斯班,韦恩PY - 2021 DA - 2021/2/25 TI -移动数字传感器监测和围手术期之间的关系结果:系统回顾乔- JMIR Perioper地中海SP - e21571六世- 4 - 1 KW -移动传感器KW -围手术期KW -传感器监测KW -围手术期结果AB -背景:对手术恢复的监测传统上仅限于医院和诊所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。如果患者接受了大手术(术后住院天数≥1天)，围手术期使用移动传感器监测患者，研究报告了术后结果(即并发症和再入院)，则纳入研究。对于包括步数的研究，使用平均值和随机效应线性模型计算并发症和非并发症队列术后每天步数的汇总分析。 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. SN - 2561-9128 UR - https://periop.www.mybigtv.com/2021/1/e21571 UR - https://doi.org/10.2196/21571 UR - http://www.ncbi.nlm.nih.gov/pubmed/33629966 DO - 10.2196/21571 ID - info:doi/10.2196/21571 ER -