1. Feasibility of remote digital monitoring using wireless Bluetooth monitors, the Smart Angel™ app and an original web platform for patients following outpatient surgery: a prospective observational pilot study
- Author
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Noemie Chaniaud, Ariane Lannelongue, Bob-Valéry Occéan, Jean-Yves Lefrant, Christophe Boisson, Philippe Cuvillon, Gautier Buzancais, natacha simon, Pierre Rataboul, T. Chevallier, Yann Gricourt, Laboratoire de Biostatistique, Epidémiologie clinique, Santé Publique Innovation et Méthodologie [CHU Nîmes] (BESPIM), Hôpital Universitaire Carémeau [Nîmes] (CHU Nîmes), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes)-Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Centre de Recherche en Psychologie : Cognition, Psychisme et Organisations - UR UPJV 7273 (CRP-CPO), and Université de Picardie Jules Verne (UPJV)
- Subjects
Adult ,Male ,Usability ,Outpatient surgery ,Pilot Projects ,[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery ,law.invention ,lcsh:RD78.3-87.3 ,Bluetooth ,03 medical and health sciences ,0302 clinical medicine ,Software ,030202 anesthesiology ,law ,medicine ,Humans ,Device ,Wireless ,Prospective Studies ,Monitoring, Physiologic ,business.industry ,System usability scale ,Hemodynamics ,Ambulatory surgery ,030208 emergency & critical care medicine ,Middle Aged ,medicine.disease ,3. Good health ,Remote monitoring ,Anesthesiology and Pain Medicine ,Ambulatory Surgical Procedures ,lcsh:Anesthesiology ,Remote Sensing Technology ,Ambulatory ,Feasibility Studies ,Female ,[SDV.IB]Life Sciences [q-bio]/Bioengineering ,Observational study ,Medical emergency ,business ,Wireless Technology ,Research Article - Abstract
Background Remote monitoring of mean arterial blood pressure (MAP), heart rate (HR) or oxygen saturation (SpO2) remains a challenge in outpatient surgery. This study evaluates a new digital technology (Smart Angel™) for remotely monitoring hemodynamic data in real time: data transmitted from the patient’s home to a central server, using a dedicated web-based software package. Methods Adults scheduled for elective outpatient surgery were prospectively enrolled. In the first 5 postoperative days, patients completed a self-report questionnaire (pain, comfort, nausea, vomiting) and recorded SpO2, HR and MAP via two wireless Bluetooth monitors connected to a 4G tablet to transmit the data to a website, in real time, using Smart Angel™ software. Before transmission to the website, these data were also self-reported by the patient on a paper form. The primary outcome was the proportion of variables (self-monitored physiological data + questionnaire scores) correctly transmitted to the hospital via the system compared with the paper version. On Day 5, a system usability scale survey (SUS score 1–100) was also attributed. Results From May 2018 to September 2018, data were available for 29 out of 30 patients enrolled (1 patient was not discharged from hospital after surgery). The remote monitoring technology recorded 2038 data items (62%) compared with 2656 (82%) items recorded on the paper form (p = 0.001). The most common errors with the remote technology were software malfunctioning when starting the MAP monitor and malfunctioning between the tablet and the Bluetooth monitor. No serious adverse events were noted. The SUS score for the system was 85 (68–93) for 26 patients. Conclusion This work evaluates the ability of a pilot system for monitoring remote physiological data using digital technology after ambulatory surgery and highlights the digital limitations of this technology. Technological improvements are required to reduce malfunctioning (4G access, transmission between apps). Trial registration ClinicalTrials.gov (NCT03464721) (March 8, 2018).
- Published
- 2020
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