期刊
CANADIAN JOURNAL OF CARDIOLOGY
卷 34, 期 7, 页码 850-862出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.cjca.2018.04.021
关键词
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资金
- Canadian Institutes of Health Research
- Ontario Centres of Excellence
- Hamilton Health Sciences Strategic Research Initiative
- Federal Economic Development Agency for Southern Ontario
- Quebec Fonds de recherche Sante Scholarship
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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