TY - JOUR
T1 - Wireless wearables for postoperative surveillance on surgical wards
T2 - a survey of 1158 anaesthesiologists in Western Europe and the USA
AU - Collaborators
AU - Collaborators in Europe
AU - Collaborators in the USA
AU - Michard, Frederic
AU - Thiele, Robert H.
AU - Saugel, Bernd
AU - Joosten, Alexandre
AU - Flick, Moritz
AU - Khanna, Ashish K.
AU - Biais, Matthieu
AU - Bonhomme, Vincent
AU - Buhre, Wolfgang
AU - Cholley, Bernard
AU - Constantin, Jean Michel
AU - Futier, Emmanuel
AU - Jaber, Samir
AU - Leone, Marc
AU - Preckel, Benedikt
AU - Reuter, Daniel
AU - Schoettker, Patrick
AU - Scheeren, Thomas
AU - Sander, Michael
AU - Steiner, Luzius A.
AU - Treskatsch, Sascha
AU - Zacharowski, Kai
AU - Afonso, Anoushka
AU - Arora, Lovkesh
AU - Ault, Michael L.
AU - Bartels, Karsten
AU - Brown, Charles
AU - Brown, Daniel
AU - Colquhoun, Douglas
AU - Fink, Ryan
AU - Gan, Tong J.
AU - Hanson, Neil
AU - Hyder, Omar
AU - Miller, Timothy
AU - McEvoy, Matt
AU - Pearl, Ronald
AU - Pirracchio, Romain
AU - Popovich, Marc
AU - Satyapriya, Sree
AU - Segal, B. Scott
AU - Williams, George
N1 - Publisher Copyright:
© 2022 The Author(s)
PY - 2022/3
Y1 - 2022/3
N2 - Background: Several continuous monitoring solutions, including wireless wearable sensors, are available or being developed to improve patient surveillance on surgical wards. We designed a survey to understand the current perception and expectations of anaesthesiologists who, as perioperative physicians, are increasingly involved in postoperative care. Methods: The survey was shared in 40 university hospitals from Western Europe and the USA. Results: From 5744 anaesthesiologists who received the survey link, there were 1158 valid questionnaires available for analysis. Current postoperative surveillance was mainly based on intermittent spot-checks of vital signs every 4–6 h in the USA (72%) and every 8–12 h in Europe (53%). A majority of respondents (91%) considered that continuous monitoring of vital signs should be available on surgical wards and that wireless sensors are preferable to tethered systems (86%). Most respondents indicated that oxygen saturation (93%), heart rate (80%), and blood pressure (71%) should be continuously monitored with wrist devices (71%) or skin adhesive patches (54%). They believed it may help detect clinical deterioration earlier (90%), decrease rescue interventions (59%), and decrease hospital mortality (54%). Opinions diverged regarding the impact on nurse workload (increase 46%, decrease 39%), and most respondents considered that the biggest implementation challenges are economic (79%) and connectivity issues (64%). Conclusion: Continuous monitoring of vital signs with wireless sensors is wanted by most anaesthesiologists from university hospitals in Western Europe and in the USA. They believe it may improve patient safety and outcome, but may also be challenging to implement because of cost and connectivity issues.
AB - Background: Several continuous monitoring solutions, including wireless wearable sensors, are available or being developed to improve patient surveillance on surgical wards. We designed a survey to understand the current perception and expectations of anaesthesiologists who, as perioperative physicians, are increasingly involved in postoperative care. Methods: The survey was shared in 40 university hospitals from Western Europe and the USA. Results: From 5744 anaesthesiologists who received the survey link, there were 1158 valid questionnaires available for analysis. Current postoperative surveillance was mainly based on intermittent spot-checks of vital signs every 4–6 h in the USA (72%) and every 8–12 h in Europe (53%). A majority of respondents (91%) considered that continuous monitoring of vital signs should be available on surgical wards and that wireless sensors are preferable to tethered systems (86%). Most respondents indicated that oxygen saturation (93%), heart rate (80%), and blood pressure (71%) should be continuously monitored with wrist devices (71%) or skin adhesive patches (54%). They believed it may help detect clinical deterioration earlier (90%), decrease rescue interventions (59%), and decrease hospital mortality (54%). Opinions diverged regarding the impact on nurse workload (increase 46%, decrease 39%), and most respondents considered that the biggest implementation challenges are economic (79%) and connectivity issues (64%). Conclusion: Continuous monitoring of vital signs with wireless sensors is wanted by most anaesthesiologists from university hospitals in Western Europe and in the USA. They believe it may improve patient safety and outcome, but may also be challenging to implement because of cost and connectivity issues.
KW - anaesthesiology
KW - failure to rescue
KW - monitoring
KW - patient safety
KW - postoperative complications
KW - surgery
KW - wearables
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U2 - 10.1016/j.bjao.2022.100002
DO - 10.1016/j.bjao.2022.100002
M3 - Article
AN - SCOPUS:85172884534
SN - 2772-6096
VL - 1
JO - BJA Open
JF - BJA Open
M1 - 100002
ER -