Postoperative Remote Automated Monitoring: Need for and State of the Science

Michael H McGillion; Emmanuelle Duceppe; Katherine Allan; Maura Marcucci; Stephen Yang; Ana P Johnson; Sara Ross-Howe; Elizabeth Peter; Ted Scott; Carley Ouellette; Shaunattonie Henry; Yannick Le Manach; Guillaume Paré; Bernice Downey; Sandra L Carroll; Joseph Mills; Andrew Turner; Wendy Clyne; Nazari Dvirnik; Sandra Mierdel; Laurie Poole; Matthew Nelson; Valerie Harvey; Amber Good; Shirley Pettit; Karla Sanchez; Prathiba Harsha; David Mohajer; Sem Ponnambalam; Sanjeev Bhavnani; Andre Lamy; Richard Whitlock; P J Devereaux; PROTECT Network Investigators

doi:10.1016/j.cjca.2018.04.021

Postoperative Remote Automated Monitoring: Need for and State of the Science

Michael H McGillion, Emmanuelle Duceppe, Katherine Allan, Maura Marcucci, Stephen Yang, Ana P Johnson, Sara Ross-Howe, Elizabeth Peter, Ted Scott, Carley Ouellette, Shaunattonie Henry, Yannick Le Manach, Guillaume Paré, Bernice Downey, Sandra L Carroll, Joseph Mills, Andrew Turner, Wendy Clyne, Nazari Dvirnik, Sandra MierdelLaurie Poole, Matthew Nelson, Valerie Harvey, Amber Good, Shirley Pettit, Karla Sanchez, Prathiba Harsha, David Mohajer, Sem Ponnambalam, Sanjeev Bhavnani, Andre Lamy, Richard Whitlock, P J Devereaux, PROTECT Network Investigators

Research output: Contribution to journal › Review article › peer-review

43 Citations (Scopus)

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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.

Original language	English
Pages (from-to)	850-862
Number of pages	13
Journal	Canadian Journal of Cardiology
Volume	34
Issue number	7
Early online date	25 Apr 2018
DOIs	https://doi.org/10.1016/j.cjca.2018.04.021
Publication status	Published - Jul 2018

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10.1016/j.cjca.2018.04.021Licence: CC BY-NC-ND

PublishedFinal published version, 1.52 MBLicence: CC BY-NC-ND

Andy Turner
- Centre for Intelligent Healthcare - Professor of Digital Self Management
Person: Teaching and Research

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McGillion, M. H., Duceppe, E., Allan, K., Marcucci, M., Yang, S., Johnson, A. P., Ross-Howe, S., Peter, E., Scott, T., Ouellette, C., Henry, S., Le Manach, Y., Paré, G., Downey, B., Carroll, S. L., Mills, J., Turner, A., Clyne, W., Dvirnik, N., ... PROTECT Network Investigators (2018). Postoperative Remote Automated Monitoring: Need for and State of the Science. Canadian Journal of Cardiology, 34(7), 850-862. https://doi.org/10.1016/j.cjca.2018.04.021

McGillion, MH, Duceppe, E, Allan, K, Marcucci, M, Yang, S, Johnson, AP, Ross-Howe, S, Peter, E, Scott, T, Ouellette, C, Henry, S, Le Manach, Y, Paré, G, Downey, B, Carroll, SL, Mills, J, Turner, A, Clyne, W, Dvirnik, N, Mierdel, S, Poole, L, Nelson, M, Harvey, V, Good, A, Pettit, S, Sanchez, K, Harsha, P, Mohajer, D, Ponnambalam, S, Bhavnani, S, Lamy, A, Whitlock, R, Devereaux, PJ & PROTECT Network Investigators 2018, 'Postoperative Remote Automated Monitoring: Need for and State of the Science', Canadian Journal of Cardiology, vol. 34, no. 7, pp. 850-862. https://doi.org/10.1016/j.cjca.2018.04.021

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title = "Postoperative Remote Automated Monitoring: Need for and State of the Science",

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.",

author = "McGillion, {Michael H} and Emmanuelle Duceppe and Katherine Allan and Maura Marcucci and Stephen Yang and Johnson, {Ana P} and Sara Ross-Howe and Elizabeth Peter and Ted Scott and Carley Ouellette and Shaunattonie Henry and {Le Manach}, Yannick and Guillaume Par{\'e} and Bernice Downey and Carroll, {Sandra L} and Joseph Mills and Andrew Turner and Wendy Clyne and Nazari Dvirnik and Sandra Mierdel and Laurie Poole and Matthew Nelson and Valerie Harvey and Amber Good and Shirley Pettit and Karla Sanchez and Prathiba Harsha and David Mohajer and Sem Ponnambalam and Sanjeev Bhavnani and Andre Lamy and Richard Whitlock and Devereaux, {P J} and {PROTECT Network Investigators}",

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AU - McGillion, Michael H

AU - Duceppe, Emmanuelle

AU - Allan, Katherine

AU - Marcucci, Maura

AU - Yang, Stephen

AU - Johnson, Ana P

AU - Ross-Howe, Sara

AU - Peter, Elizabeth

AU - Scott, Ted

AU - Ouellette, Carley

AU - Henry, Shaunattonie

AU - Le Manach, Yannick

AU - Paré, Guillaume

AU - Downey, Bernice

AU - Carroll, Sandra L

AU - Mills, Joseph

AU - Turner, Andrew

AU - Clyne, Wendy

AU - Dvirnik, Nazari

AU - Mierdel, Sandra

AU - Poole, Laurie

AU - Nelson, Matthew

AU - Harvey, Valerie

AU - Good, Amber

AU - Pettit, Shirley

AU - Sanchez, Karla

AU - Harsha, Prathiba

AU - Mohajer, David

AU - Ponnambalam, Sem

AU - Bhavnani, Sanjeev

AU - Lamy, Andre

AU - Whitlock, Richard

AU - Devereaux, P J

AU - PROTECT Network Investigators

PY - 2018/7

Y1 - 2018/7

N2 - 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.

AB - 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.

U2 - 10.1016/j.cjca.2018.04.021

DO - 10.1016/j.cjca.2018.04.021

M3 - Review article

C2 - 29960614

SN - 1916-7075

VL - 34

SP - 850

EP - 862

JO - Canadian Journal of Cardiology

JF - Canadian Journal of Cardiology

IS - 7

ER -

Postoperative Remote Automated Monitoring: Need for and State of the Science

Abstract

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