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Postoperative Remote Automated Monitoring: Need for and State of the Science.
McGillion, Michael H; Duceppe, Emmanuelle; Allan, Katherine; Marcucci, Maura; Yang, Stephen; Johnson, Ana P; Ross-Howe, Sara; Peter, Elizabeth; Scott, Ted; Ouellette, Carley; Henry, Shaunattonie; Le Manach, Yannick; Paré, Guillaume; Downey, Bernice; Carroll, Sandra L; Mills, Joseph; Turner, Andrew; Clyne, Wendy; Dvirnik, Nazari; Mierdel, Sandra; Poole, Laurie; Nelson, Matthew; Harvey, Valerie; Good, Amber; Pettit, Shirley; Sanchez, Karla; Harsha, Prathiba; Mohajer, David; Ponnambalam, Sem; Bhavnani, Sanjeev; Lamy, Andre; Whitlock, Richard; Devereaux, P J.
Afiliação
  • McGillion MH; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada. Electronic address: mmcgill@mcmaster.ca.
  • Duceppe E; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
  • Allan K; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.
  • Marcucci M; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.
  • Yang S; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Johnson AP; Queen's University, Kingston, Ontario, Canada.
  • Ross-Howe S; Univerity of Waterloo, Waterloo, Ontario, Canada.
  • Peter E; University of Toronto, Toronto, Ontario, Canada.
  • Scott T; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Ouellette C; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Henry S; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Le Manach Y; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.
  • Paré G; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.
  • Downey B; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.
  • Carroll SL; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Mills J; Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
  • Turner A; Coventry University, Coventry, United Kingdom.
  • Clyne W; Hope for the Community, Community Interest Company, Coventry, United Kingdom.
  • Dvirnik N; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Mierdel S; Ontario Telemedicine Network, Toronto, Ontario, Canada.
  • Poole L; Ontario Telemedicine Network, Toronto, Ontario, Canada.
  • Nelson M; Ontario Telemedicine Network, Toronto, Ontario, Canada.
  • Harvey V; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Good A; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Pettit S; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Sanchez K; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Harsha P; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Mohajer D; XAHIVE, Toronto, Ontario, Canada.
  • Ponnambalam S; XAHIVE, Toronto, Ontario, Canada.
  • Bhavnani S; Scripps Clinic and Research Institute, La Jolla, California, USA.
  • Lamy A; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Whitlock R; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
  • Devereaux PJ; McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada.
Can J Cardiol ; 34(7): 850-862, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29960614
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.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Cuidados Pós-Operatórios / Procedimentos Cirúrgicos Operatórios / Telemedicina / Sinais Vitais / Monitorização Fisiológica Limite: Humanos Idioma: Inglês Revista: Can J Cardiol Assunto da revista: Cardiologia Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Cuidados Pós-Operatórios / Procedimentos Cirúrgicos Operatórios / Telemedicina / Sinais Vitais / Monitorização Fisiológica Limite: Humanos Idioma: Inglês Revista: Can J Cardiol Assunto da revista: Cardiologia Ano de publicação: 2018 Tipo de documento: Artigo