دانلود رایگان مقاله انگلیسی بررسی سیستماتیک سیستم مانیتورینگ بیمار پوشیدنی - فرصت های فعلی برای پذیرش بالینی - اشپرینگر 2017

Abstract

The aim of this review is to investigate barriers and challenges of wearable patient monitoring (WPM) solutions adopted by clinicians in acute, as well as in community, care settings. Currently, healthcare providers are coping with evergrowing healthcare challenges including an ageing population, chronic diseases,thecostof hospitalization,andthe risk ofmedical errors.WPM systems are a potential solution for addressing some of these challenges by enabling advanced sensors, wearable technology, and secure and effective communication platforms between the clinicians and patients. A total of 791 articles were screened and 20 were selected for this review. The most common publication venue was conference proceedings (13, 54%). This review only considered recent studies published between 2015 and 2017. The identified studies involved chronic conditions (6, 30%), rehabilitation (7, 35%), cardiovascular diseases (4, 20%), falls (2, 10%) andmental health (1, 5%).Most studies focussed on the systemaspects ofWPM solutionsincluding advanced sensors, wireless data collection, communication platform and clinical usability based on a specific area or disease. The current studies are progressing with localized sensor-software integration to solve a specific use-case/health area using non-scalable and ‘silo’ solutions. There is further work required regarding interoperability and clinical acceptance challenges. The advancement of wearable technology and possibilities of using machine learning and artificial intelligence in healthcare is a concept that has been investigated by many studies. We believe future patient monitoring and medical treatments will build upon efficient and affordable solutions of wearable technology.

Discussion and conclusion

Most research in WPM systems has focused on applications related to older adults (aged more than 60 years), as opposed to younger adults. A study by Bergmann and McGregor reported that 93% of patients in an elderly care facility accepted a proposed WPM system, because of its low invasiveness and its non-interference with their normal daily life activities [63]. However, Bergmann and McGregor’s overall quality of individual studies was relatively low, with small participant numbers, limited details of methodology and a restricted reporting of research processes [63].

In this paper, we reviewed 20 wearable monitoring systems by selecting papers published from 2015 to 2017 in order to evaluate their technological advancements and their employment of advanced sensors and data collection techniques. We studied the design concepts of wearable wireless WPM systems, identified key specifications and parameters such as sensors and signals, data processing, integration, signal quality and userengagement and user-interaction that require attention. In addition, we have highlighted the potential of deployment of such technologies in the clinical environment [54, 64].