Clinical Relevance of Home Monitoring of Vital Signs and Blood Glucose Levels: A Narrative Review

2019 ◽  
Vol 35 (4) ◽  
pp. 334-339
Author(s):  
Jessica P. Lee ◽  
Georgina Freeman ◽  
Michelle Cheng ◽  
Lauren Brown ◽  
Hector De la Hoz Siegler ◽  
...  
Keyword(s):  
Statistical Methods ◽  
Vital Signs ◽  
Home Monitoring ◽  
Reporting Quality ◽  
Narrative Review ◽  
Medical Decision ◽  
Health Practitioner ◽  
Quality Reporting ◽  
Vital Signs Monitoring ◽  
Monitoring Technologies

AbstractObjectivesWe sought to assess the presence and reporting quality of peer-reviewed literature concerning the accuracy, precision, and reliability of home monitoring technologies for vital signs and glucose determinations in older adult populations.MethodsA narrative literature review was undertaken searching the databases Medline, Embase, and Compendex. Peer-reviewed publications with keywords related to vital signs, monitoring devices and technologies, independent living, and older adults were searched. Publications between the years 2012 and 2018 were included. Two reviewers independently conducted title and abstract screening, and four reviewers independently undertook full-text screening and data extraction with all disagreements resolved through discussion and consensus.ResultsTwo hundred nine articles were included. Our review showed limited assessment and low-quality reporting of evidence concerning the accuracy, precision, and reliability of home monitoring technologies. Of 209 articles describing a relevant device, only 45 percent (n = 95) provided a citation or some evidence to support their validation claim. Of forty-eight articles that described the use of a comparator device, 65 percent (n = 31) used low-quality statistical methods, 23 percent (n = 11) used moderate-quality statistical methods, and only 12 percent (n = 6) used high-quality statistical methods.ConclusionsOur review found that current validity claims were based on low-quality assessments that do not provide the necessary confidence needed by clinicians for medical decision-making purposes. This narrative review highlights the need for standardized health technology reporting to increase health practitioner confidence in these devices, support the appropriate adoption of such devices within the healthcare system, and improve health outcomes.

scholarly journals Longitudinal remotely mentored self-performed lung ultrasound surveillance of paucisymptomatic Covid-19 patients at risk of disease progression

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Andrew W. Kirkpatrick ◽  
Jessica L. McKee ◽  
John M. Conly
Keyword(s):  
At Risk ◽  
Lung Ultrasound ◽  
Point Of Care ◽  
Human Life ◽  
Vital Signs ◽  
Home Monitoring ◽  
Cost Effective ◽  
Care Providers ◽  
Vital Signs Monitoring ◽  
Ultrasound Probes

AbstractCOVID-19 has impacted human life globally and threatens to overwhelm health-care resources. Infection rates are rapidly rising almost everywhere, and new approaches are required to both prevent transmission, but to also monitor and rescue infected and at-risk patients from severe complications. Point-of-care lung ultrasound has received intense attention as a cost-effective technology that can aid early diagnosis, triage, and longitudinal follow-up of lung health. Detecting pleural abnormalities in previously healthy lungs reveal the beginning of lung inflammation eventually requiring mechanical ventilation with sensitivities superior to chest radiographs or oxygen saturation monitoring. Using a paradigm first developed for space-medicine known as Remotely Telementored Self-Performed Ultrasound (RTSPUS), motivated patients with portable smartphone support ultrasound probes can be guided completely remotely by a remote lung imaging expert to longitudinally follow the health of their own lungs. Ultrasound probes can be couriered or even delivered by drone and can be easily sterilized or dedicated to one or a commonly exposed cohort of individuals. Using medical outreach supported by remote vital signs monitoring and lung ultrasound health surveillance would allow clinicians to follow and virtually lay hands upon many at-risk paucisymptomatic patients. Our initial experiences with such patients are presented, and we believe present a paradigm for an evolution in rich home-monitoring of the many patients expected to become infected and who threaten to overwhelm resources if they must all be assessed in person by at-risk care providers.

TELECOVID: Remote Vital Signs Monitoring of COVID-19 Risk Patients in Home Isolation With an In-Ear Wearable

2021 ◽  
Vol 20 (2) ◽  
pp. 58-62
Author(s):  
Melanie Baldinger ◽  
Axel Heinrich ◽  
Tim Adams ◽  
Eimo Martens ◽  
Michael Dommasch ◽  
...  
Keyword(s):  
Vital Signs ◽  
Vital Signs Monitoring ◽  
Risk Patients

Textile-based fiber optic sensors for health monitoring: A systematic and citation network analysis review

2021 ◽  
pp. 004051752110362
Author(s):  
Ka-Po Lee ◽  
Joanne Yip ◽  
Kit-Lun Yick ◽  
Chao Lu ◽  
Chris K Lo
Keyword(s):  
Network Analysis ◽  
Fiber Optic ◽  
Vital Signs ◽  
Citation Network ◽  
Fiber Optic Sensors ◽  
Superior Performance ◽  
Vital Signs Monitoring ◽  
Wear Comfort ◽  
Citation Network Analysis ◽  
Research Domains

Receptivity towards textile-based fiber optic sensors that are used to monitor physical health is increasing as they have good flexibility, are light in weight, provide wear comfort, have electromagnetic immunity, and are electrically safe. Their superior performance has facilitated their use for obtaining close to body measurements. However, there are many related studies in the literature, so it is challenging to identify the knowledge structure and research trends. Therefore, this article aims to provide an objective and systematic literature review on textile-based fiber optic sensors that are used for monitoring health issues and to analyze their trends through a citation network analysis. A full-text search of journal articles was conducted in the Web of Science Core Collection, and a total of 625 studies was found, with 47 that were used as the sample. Also, CitNetExplorer was used for analyzing the research domains and trends. Three research domains were identified, among them, “Flexible sensors for vital signs monitoring” is the largest research cluster, and most of the articles in this cluster focus on respiratory monitoring. Therefore, this area of study should probably be on the academic radar. The collection of data on textile-based fiber optic sensors is invaluable for evaluating degree of rehabilitation, detecting diseases, preventing accidents, as well as gauging the performance and training successfulness of athletes.

scholarly journals iNurse: Intelligent, low-cost pediatric vital signs monitoring system

2014 ◽  
Vol 80 (3) ◽  
pp. 218
Author(s):  
N. Lo ◽  
A. Navlekar ◽  
E. Palmgren ◽  
R. Rekhi ◽  
F. Ussher ◽  
...  
Keyword(s):  
Monitoring System ◽  
Low Cost ◽  
Vital Signs ◽  
Vital Signs Monitoring

Letters to the Editor

PEDIATRICS ◽  
1980 ◽  
Vol 65 (5) ◽  
pp. 1055-1055
Author(s):  
Dorothy Kelly ◽  
Daniel C. Shannon
Keyword(s):  
Social Worker ◽  
Monitoring Program ◽  
Home Monitoring ◽  
Medical Decision ◽  
Community Resources ◽  
Letters To The Editor ◽  
At Home

We have now supervised 230 families who have monitored an infant at home and have gradually developed our hospital and home monitoring program in response to our families' needs. The hospital program begins once a medical decision has been reached that the infant requires continuous surveillance. It consists of: (1) Evaluation of the family's strengths and weaknesses by the pediatrician and social worker. (2) Determination of family and community resources available to support weaknesses and to provide relief services.

Sungai Pusu River Emergency Vital Signs Monitoring Using LoRaWAN

2021 ◽  
Author(s):  
Nur Sakinah Kosnin ◽  
Shihabeldin Fadli Yousif Hasan ◽  
Mohamed Hadi Habaebi ◽  
Mod Rafiqul Islam
Keyword(s):  
Vital Signs ◽  
Vital Signs Monitoring

Wital: WiFi-based Real-time Vital Signs Monitoring During Sleep

2021 ◽  
Author(s):  
Yu Gu ◽  
Xiang Zhang ◽  
Huan Yan ◽  
Zhi Liu ◽  
Fuji Ren
Keyword(s):  
Real Time ◽  
Wearable Sensors ◽  
Vital Signs ◽  
Implementation Process ◽  
Sleep Monitoring ◽  
Daily Lives ◽  
Vital Signs Monitoring ◽  
Quality Sleep ◽  
Enhancement Method ◽  
Positioning Algorithm

High-quality sleep is essential to our daily lives, and real-time monitoring of vital signs during sleep is beneficial. Current sleep monitoring solutions are mostly based on wearable sensors or cameras, the former is worse for sleep quality, the latter is worse for privacy, dissimilar to such methods, we implement our sleep monitoring system based on COTS WiFi devices. There are two challenges need to be overcome in the system implementation process: First, the torso deformation caused by breathing/heartbeat is weak, how to effectively capture this deformation? Second, movements such as turning over will affect the accuracy of vital signs monitoring, how to quickly distinguish such movements? For the former, we propose a motion detection capability enhancement method based on Rice-K theory and Fresnel theory. For the latter, we propose a sleep motion positioning algorithm based on regularity detection. The experimental results indicated the performance of our method.

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