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

BMC Anesthesiology

Bob-Valéry Occean¹  Thierry Chevallier¹  Christophe Boisson²  Natacha Simon²  Ariane Lannelongue²  Philippe Cuvillon²  Pierre Rataboul²  Jean-Yves Lefrant²  Yann Gricourt²  Gautier Buzancais²  Noémie Chaniaud³ 

[1] Department of Biostatistics, Epidemiology, Public Health and and Methodological innovation (BESPIM), Nîmes University Hospital, University Montpellier 1, Montpellier, France;Staff anesthesiologists, Department of Anesthesiology and Pain Management, Centre Hospitalo-Universitaire (CHU) Carémeau, Place du Professeur Debré, Nîmes, and Montpellier University 1, Montpellier, France;UR 7273 CRP-CPO, Université Picardie Jules Verne, Chemin du Thil, 80000, Amiens, France;

关键词: Ambulatory surgery;    Remote monitoring;    Device;    Usability;   

DOI  :  10.1186/s12871-020-01178-5

来源: Springer

【 摘 要 】

BackgroundRemote 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.MethodsAdults 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.ResultsFrom 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.ConclusionThis 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 registrationClinicalTrials.gov (NCT03464721) (March 8, 2018).

【 授权许可】

CC BY