Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA

TY - JOUR

T1 - Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA

AU - Michard, Frederic

AU - Thiele, Robert H.

AU - Saugel, Bernd

AU - Joosten, Alexandre

AU - Flick, Moritz

AU - Khanna, Ashish K.

AU - Collaborators

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 - doi: 10.1016/j.bjao.2022.100002

PY - 2022/3/1

Y1 - 2022/3/1

N2 - BackgroundSeveral 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.MethodsThe survey was shared in 40 university hospitals from Western Europe and the USA.ResultsFrom 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%).ConclusionContinuous 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 - BackgroundSeveral 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.MethodsThe survey was shared in 40 university hospitals from Western Europe and the USA.ResultsFrom 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%).ConclusionContinuous 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.

U2 - 10.1016/j.bjao.2022.100002

DO - 10.1016/j.bjao.2022.100002

M3 - SCORING: Journal article

VL - 1

SP - 100002

JO - BJA Open

JF - BJA Open

SN - 2772-6096

M1 - 100002

ER -