Wearables for continuous patient monitoring on COVID-19 isolation wards

An ambulatory monitoring system for the continuous monitoring of heart rate, respiratory rate and oxygen saturation, using wearable devices was implemented at the start of the COVID-19 pandemic on selected isolation wards in a large UK hospital. We have retrospectively analysed the data and nurse ob...

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Egile Nagusiak: Roman, C, Vollam, S, Watkinson, P, Tarassenko, L
Formatua: Conference item
Hizkuntza:English
Argitaratua: IEEE 2023
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author Roman, C
Vollam, S
Watkinson, P
Tarassenko, L
author_facet Roman, C
Vollam, S
Watkinson, P
Tarassenko, L
author_sort Roman, C
collection OXFORD
description An ambulatory monitoring system for the continuous monitoring of heart rate, respiratory rate and oxygen saturation, using wearable devices was implemented at the start of the COVID-19 pandemic on selected isolation wards in a large UK hospital. We have retrospectively analysed the data and nurse observations from two groups of patients on these wards: those whose care was escalated so that they were admitted to the Intensive Care Unit (ICU); and those who were discharged home or to a non-isolation ward (stepping down). The computation of population averages for these two groups 24h prior to an ICU admission or prior to stepping down provides evidence for the value of wearable monitoring for the early identification of physiological deteriorations in COVID-19 patients. The continuous data from the finger-worn pulse oximeter reveals clinically significant changes between 2 and 3 hours ahead of the regular vital-sign observations by the nursing staff. We also show how a hybrid score based on six physiological parameters (calculated from a mixture of continuous and intermittent vital-sign data) can provide early warning of deterioration for high-risk patients.
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spelling oxford-uuid:3b83a02c-bcf2-4b27-890a-6c7370d0c6af2024-01-31T08:58:00ZWearables for continuous patient monitoring on COVID-19 isolation wardsConference itemhttp://purl.org/coar/resource_type/c_5794uuid:3b83a02c-bcf2-4b27-890a-6c7370d0c6afEnglishSymplectic ElementsIEEE2023Roman, CVollam, SWatkinson, PTarassenko, LAn ambulatory monitoring system for the continuous monitoring of heart rate, respiratory rate and oxygen saturation, using wearable devices was implemented at the start of the COVID-19 pandemic on selected isolation wards in a large UK hospital. We have retrospectively analysed the data and nurse observations from two groups of patients on these wards: those whose care was escalated so that they were admitted to the Intensive Care Unit (ICU); and those who were discharged home or to a non-isolation ward (stepping down). The computation of population averages for these two groups 24h prior to an ICU admission or prior to stepping down provides evidence for the value of wearable monitoring for the early identification of physiological deteriorations in COVID-19 patients. The continuous data from the finger-worn pulse oximeter reveals clinically significant changes between 2 and 3 hours ahead of the regular vital-sign observations by the nursing staff. We also show how a hybrid score based on six physiological parameters (calculated from a mixture of continuous and intermittent vital-sign data) can provide early warning of deterioration for high-risk patients.
spellingShingle Roman, C
Vollam, S
Watkinson, P
Tarassenko, L
Wearables for continuous patient monitoring on COVID-19 isolation wards
title Wearables for continuous patient monitoring on COVID-19 isolation wards
title_full Wearables for continuous patient monitoring on COVID-19 isolation wards
title_fullStr Wearables for continuous patient monitoring on COVID-19 isolation wards
title_full_unstemmed Wearables for continuous patient monitoring on COVID-19 isolation wards
title_short Wearables for continuous patient monitoring on COVID-19 isolation wards
title_sort wearables for continuous patient monitoring on covid 19 isolation wards
work_keys_str_mv AT romanc wearablesforcontinuouspatientmonitoringoncovid19isolationwards
AT vollams wearablesforcontinuouspatientmonitoringoncovid19isolationwards
AT watkinsonp wearablesforcontinuouspatientmonitoringoncovid19isolationwards
AT tarassenkol wearablesforcontinuouspatientmonitoringoncovid19isolationwards