Abstract：
BACKGROUND: Patients undergoing major oncological abdominal surgery are prone to postoperative complications, making early recognition crucial. Clinical deterioration is often preceded by changes in vital signs, which are typically measured thrice a day by a nurse. However, intermittent measurements may delay recognizing clinical deterioration. Continuous vital parameter monitoring may lead to earlier recognition and management of complications and reduce nursing workload.
OBJECTIVE: To compare vital parameter measurements between ward nurses and a wireless continuous monitoring system (Sensium® wireless patch) and assess whether this patch can detect clinical deterioration earlier in patients with complications in the first postoperative week.
METHODS: Vital parameters (heart rate, respiratory rate, and temperature) were collected in patients undergoing an oncological resection of the liver, colorectal, or pancreas. Sensium® patch measurements were compared to nurses\' measurements to assess the percentages of discordant measurements. In patients with complications in the first postoperative week, time discrepancies between nurses and Sensium® patch measurements were identified in cases of clinical deterioration (respiratory rate ≥15/min, heart rate ≥100/min, and temperature ≥38°C).
RESULTS: Among 227 patients, 22% of the patients experienced complications. Nurse and Sensium® measurements were discrepant in 586/2272 measurements (26%). In 506/586 discrepancies (86%), this was due to the respiratory rate (difference ≥4/min). Compared to nurses, the Sensium® patch detected an elevated respiratory rate 14 h earlier and heart rate 2 h earlier within complications in the first postoperative week. For temperature, no difference was observed.
CONCLUSIONS: Continuous monitoring with the Sensium® wireless patch holds promise for earlier recognition of complications in patients who underwent major oncological abdominal surgery.
OBJECTIVE: To compare vital parameter measurements between ward nurses and a wireless continuous monitoring system (Sensium® wireless patch) and assess whether this patch can detect clinical deterioration earlier in patients with complications in the first postoperative week.
METHODS: Vital parameters (heart rate, respiratory rate, and temperature) were collected in patients undergoing an oncological resection of the liver, colorectal, or pancreas. Sensium® patch measurements were compared to nurses\' measurements to assess the percentages of discordant measurements. In patients with complications in the first postoperative week, time discrepancies between nurses and Sensium® patch measurements were identified in cases of clinical deterioration (respiratory rate ≥15/min, heart rate ≥100/min, and temperature ≥38°C).
RESULTS: Among 227 patients, 22% of the patients experienced complications. Nurse and Sensium® measurements were discrepant in 586/2272 measurements (26%). In 506/586 discrepancies (86%), this was due to the respiratory rate (difference ≥4/min). Compared to nurses, the Sensium® patch detected an elevated respiratory rate 14 h earlier and heart rate 2 h earlier within complications in the first postoperative week. For temperature, no difference was observed.
CONCLUSIONS: Continuous monitoring with the Sensium® wireless patch holds promise for earlier recognition of complications in patients who underwent major oncological abdominal surgery.
摘要：
背景：接受大型腹部肿瘤手术的患者容易发生术后并发症，让早期识别变得至关重要。临床恶化之前往往是生命体征的变化，通常由护士每天测量三次。然而,间歇性测量可能会延迟识别临床恶化。持续的生命参数监测可以导致并发症的早期识别和管理，并减少护理工作量。
目的：比较病房护士和无线连续监测系统（Sensium®无线贴片）之间的生命参数测量值，并评估该贴片是否可以在术后第一周早期检测到有并发症患者的临床恶化。
方法：重要参数(心率，呼吸频率,和温度）是在接受肝脏肿瘤切除术的患者中收集的，结直肠,或胰腺。将Sensium®贴片测量值与护士测量值进行比较，以评估不一致测量值的百分比。在术后第一周出现并发症的患者中，在临床恶化的情况下（呼吸频率≥15/min，心率≥100/min,温度≥38°C)。
结果：在227例患者中，22%的患者经历了并发症。Nurse和Sensium®测量在586/2272测量中存在差异(26%)。在506/586差异(86%)中，这是由于呼吸频率(差异≥4/min).与护士相比，Sensium®贴片在术后第一周的并发症中检测到呼吸频率提前14小时升高和心率提前2小时升高。对于温度，没有观察到差异。
结论：使用Sensium®无线贴片的连续监测有望在接受大型肿瘤腹部手术的患者中早期识别并发症。
目的：比较病房护士和无线连续监测系统（Sensium®无线贴片）之间的生命参数测量值，并评估该贴片是否可以在术后第一周早期检测到有并发症患者的临床恶化。
方法：重要参数(心率，呼吸频率,和温度）是在接受肝脏肿瘤切除术的患者中收集的，结直肠,或胰腺。将Sensium®贴片测量值与护士测量值进行比较，以评估不一致测量值的百分比。在术后第一周出现并发症的患者中，在临床恶化的情况下（呼吸频率≥15/min，心率≥100/min,温度≥38°C)。
结果：在227例患者中，22%的患者经历了并发症。Nurse和Sensium®测量在586/2272测量中存在差异(26%)。在506/586差异(86%)中，这是由于呼吸频率(差异≥4/min).与护士相比，Sensium®贴片在术后第一周的并发症中检测到呼吸频率提前14小时升高和心率提前2小时升高。对于温度，没有观察到差异。
结论：使用Sensium®无线贴片的连续监测有望在接受大型肿瘤腹部手术的患者中早期识别并发症。
