Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA
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Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA. / Michard, Frederic; Thiele, Robert H.; Saugel, Bernd; Joosten, Alexandre; Flick, Moritz; Khanna, Ashish K.; Collaborators.
In: BJA Open, Vol. 1, 100002, 01.03.2022, p. 100002.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -