Postoperative Remote Automated Monitoring: Need for and State of the Science |
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| Authors: | Michael H McGillion Emmanuelle Duceppe Katherine Allan Maura Marcucci Stephen Yang Ana P Johnson Sara Ross-Howe Elizabeth Peter Ted Scott Carley Ouellette Shaunattonie Henry Yannick Le Manach Guillaume Paré Bernice Downey Sandra L Carroll Joseph Mills Andrew Turner Wendy Clyne PJ Devereaux |
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| Institution: | 1. McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada;2. Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada;3. Centre Hospitalier de l’Université de Montréal, Montreal, Quebec, Canada;4. Queen’s University, Kingston, Ontario, Canada;5. Univerity of Waterloo, Waterloo, Ontario, Canada;6. University of Toronto, Toronto, Ontario, Canada;g. Liverpool Heart and Chest Hospital, Liverpool, United Kingdom;h. Coventry University, Coventry, United Kingdom;i. Hope for the Community, Community Interest Company, Coventry, United Kingdom;j. Ontario Telemedicine Network, Toronto, Ontario, Canada;k. XAHIVE, Toronto, Ontario, Canada;l. Scripps Clinic and Research Institute, La Jolla, California, USA |
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| Abstract: | Worldwide, more than 230 million adults have major noncardiac surgery each year. Although surgery can improve quality and duration of life, it can also precipitate major complications. Moreover, a substantial proportion of deaths occur after discharge. Current systems for monitoring patients postoperatively, on surgical wards and after transition to home, are inadequate. On the surgical ward, vital signs evaluation usually occurs only every 4-8 hours. Reduced in-hospital ward monitoring, followed by no vital signs monitoring at home, leads to thousands of cases of undetected/delayed detection of hemodynamic compromise. In this article we review work to date on postoperative remote automated monitoring on surgical wards and strategy for advancing this field. Key considerations for overcoming current barriers to implementing remote automated monitoring in Canada are also presented. |
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| Keywords: | on behalf of the |
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