Abstract
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.
DOI
10.1016/j.cjca.2018.04.021
Publication Date
2018-07-01
Publication Title
Canadian Journal of Cardiology
Volume
34
Issue
7
Publisher
Elsevier BV
ISSN
0828-282X
Embargo Period
2024-11-19
First Page
850
Last Page
862
Recommended Citation
McGillion, M., & PROTECT Network Investigators. (2018) 'Postoperative Remote Automated Monitoring: Need for and State of the Science', Canadian Journal of Cardiology, 34(7), pp. 850-862. Elsevier BV: Available at: https://doi.org/10.1016/j.cjca.2018.04.021
