Journal article
Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA
BJA Open, Vol.1, p.100002
03/2022
DOI: 10.1016/j.bjao.2022.100002
PMCID: PMC10430871
PMID: 37588692
Abstract
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.
The survey was shared in 40 university hospitals from Western Europe and the USA.
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%).
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.
Details
- Title: Subtitle
- Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA
- Creators
- Frederic Michard - MICo (Czechia)Robert H. Thiele - University of VirginiaBernd Saugel - Outcomes Research ConsortiumAlexandre Joosten - Department of Anesthesiology, University Paris Saclay, Paul Brousse Hospital, Villejuif, FranceMoritz Flick - University Medical Center Hamburg-EppendorfAshish K. Khanna - Outcomes Research ConsortiumMatthieu Biais - Université de Bordeaux, Hôpital Tripode, Bordeaux, FranceVincent Bonhomme - Centre Hospitalier Universitaire, Liège, BelgiumWolfgang Buhre - University Medical Center, Maastricht, the NetherlandsBernard Cholley - Hôpital Européen Georges-PompidouJean-Michel Constantin - University Paris-Sorbonne, Hopital Pitié-Salpétrière, Paris, FranceEmmanuel Futier - Université Clermont Auvergne, Hopital d’Estaing, Clermont-Ferrand, FranceSamir Jaber - Université de Montpellier, Saint Eloi Hospital, Montpellier, FranceMarc Leone - Hôpital NordBenedikt Preckel - Amsterdam University Medical CentersDaniel Reuter - University of RostockPatrick Schoettker - Université de Lausanne, CHUV, Lausanne, SwitzerlandThomas Scheeren - University Medical Center GroningenMichael Sander - University Medical Center, Giessen, GermanyLuzius A. Steiner - University of BaselSascha Treskatsch - Charité University Medical Center, Berlin, GermanyKai Zacharowski - University Medical Center, Frankfurt, GermanyAnoushka Afonso - Memorial Sloan Kettering Cancer CenterLovkesh Arora - University of IowaMichael L. Ault - Northwestern Memorial HospitalKarsten Bartels - University of Nebraska Medical CenterCharles Brown - Johns Hopkins UniversityDaniel Brown - Mayo Clinic, Rochester, MN, USADouglas Colquhoun - University of Michigan Health, Ann Arbor, MI, USARyan Fink - Oregon Health Services University, Portland, OR, USATong J. Gan - StonyBrook University Medical Center, StonyBrook, NY, USANeil Hanson - University of Minnesota Medical CenterOmar Hyder - Harvard Medical SchoolTimothy Miller - Duke University HospitalMatt McEvoy - Vanderbilt University Medical CenterRonald Pearl - Stanford University School of MedicineRomain Pirracchio - University of California, San FranciscoMarc Popovich - University Hospitals Cleveland Medical Center, Cleveland, OH, USASree Satyapriya - Ohio State University, Columbus, OH, USAB. Scott Segal - Wake Forest UniversityGeorge Williams - University of Texas Medical Center, Houston, TX, USACollaborators in Europe
- Resource Type
- Journal article
- Publication Details
- BJA Open, Vol.1, p.100002
- DOI
- 10.1016/j.bjao.2022.100002
- PMID
- 37588692
- PMCID
- PMC10430871
- NLM abbreviation
- BJA Open
- ISSN
- 2772-6096
- Publisher
- Elsevier Ltd
- Language
- English
- Date published
- 03/2022
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296126802771
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