Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review.
Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review.
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DOI：
10.1038/s41746-021-00525-1
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发表时间：
2021-11-12
影响因子：
15.2
通讯作者：
Harrison EM
中科院分区：
文献类型：
--
作者：
Knight SR;Ng N;Tsanas A;Mclean K;Pagliari C;Harrison EM
手术后的并发症很常见，经常发生在出院后。移动和可穿戴数字健康干预(DHI)为患者术后康复期间提供了监测和支持的机会。缺乏高质量的证据经常被认为是实施DHI的障碍。本文对移动式和可穿戴DHI在手术后的应用、证据基础和报告质量进行综述和评价。在Embase、Cochrane图书馆、Web of Science和WHO Global Index Medicus数据库中进行关键词搜索，以及临床试验登记和谷歌学者。研究包括接受任何需要皮肤切开的手术的患者，这些患者在出院后使用DHI来衡量术后结果，DHI的定义是移动和无线健康技术，以提高医疗系统的效率和健康结果。使用有效的移动健康证据报告和评估(MERA)指南来确定方法学报告质量。根据研究类型，使用Cochrane协作工具对随机研究或未成年人进行偏倚评估。共筛选出6969篇文章，包括44篇文章。大多数(n = 34)描述了具有高偏倚风险的小型前瞻性研究设计。报告标准在所有领域都不是最优的，特别是在数据安全、先前的患者参与度和成本分析方面。尽管DHI有改善术后患者护理的潜力，但目前的进展受到方法学报告方面的限制。迫切需要改进手术后DHI的报告，以确定患者的利益，促进重复性和鼓励可持续性。
Complications following surgery are common and frequently occur the following discharge. Mobile and wearable digital health interventions (DHI) provide an opportunity to monitor and support patients during their postoperative recovery. Lack of high-quality evidence is often cited as a barrier to DHI implementation. This review captures and appraises the current use, evidence base and reporting quality of mobile and wearable DHI following surgery. Keyword searches were performed within Embase, Cochrane Library, Web of Science and WHO Global Index Medicus databases, together with clinical trial registries and Google scholar. Studies involving patients undergoing any surgery requiring skin incision where postoperative outcomes were measured using a DHI following hospital discharge were included, with DHI defined as mobile and wireless technologies for health to improve health system efficiency and health outcomes. Methodological reporting quality was determined using the validated mobile health evidence reporting and assessment (mERA) guidelines. Bias was assessed using the Cochrane Collaboration tool for randomised studies or MINORS depending on study type. Overall, 6969 articles were screened, with 44 articles included. The majority (n = 34) described small prospective study designs, with a high risk of bias demonstrated. Reporting standards were suboptimal across all domains, particularly in relation to data security, prior patient engagement and cost analysis. Despite the potential of DHI to improve postoperative patient care, current progress is severely restricted by limitations in methodological reporting. There is an urgent need to improve reporting for DHI following surgery to identify patient benefit, promote reproducibility and encourage sustainability.
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影响因子：
5
作者：
Appelboom, Geoff;Taylor, Blake E.;Connolly, E. Sander, Jr.
通讯作者：
Connolly, E. Sander, Jr.
影响因子：
105.7
作者：
Agarwal, Smisha;LeFevre, Amnesty E.;Labrique, Alain
通讯作者：
Labrique, Alain
影响因子：
2.2
作者：
Carmichael, Heather;Overbey, Douglas M.;Robinson, Thomas N.
通讯作者：
Robinson, Thomas N.
DOI：
10.1111/ajt.13701
发表时间：
2016-07
期刊：
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子：
--
作者：
DeVito Dabbs A;Song MK;Myers BA;Li R;Hawkins RP;Pilewski JM;Bermudez CA;Aubrecht J;Begey A;Connolly M;Alrawashdeh M;Dew MA
通讯作者：
Dew MA
影响因子：
5.3
作者：
Campbell, Kevin J.;Louie, Philip K.;Gerlinger, Tad L.
通讯作者：
Gerlinger, Tad L.