JACC:可穿戴设备潜力巨大!JACC发表综述文章

2020-04-21 xujing 中国循环杂志

近日,JACC发表的一篇综述文章指出,可穿戴设备在提供高质量、可靠和负担得起的疾病筛查和诊断方面具有巨大潜力。移动医疗在人群中的普遍应用将带来医疗保健和个性化医疗的新模式。

近日,JACC发表的一篇综述文章指出,可穿戴设备在提供高质量、可靠和负担得起的疾病筛查和诊断方面具有巨大潜力。移动医疗在人群中的普遍应用将带来医疗保健和个性化医疗的新模式。

目前,一些基于心电图、光体积描记术、加速计、声学和其他技术开发的可穿戴、智能手机或其他移动设备可提供一个完整的生理参数和生命体征范围,包括心率、血压、温度、呼吸和血氧饱和度。


文章结合近年来的研究数据指出,可携穿戴设备可用于心血管健康各个方面的监测,包括心律失常检测、心律和血压监测、心肺健康、压力测试。

目前,研究者还开发了一些基于智能手机的应用程序,可对严重心脏事件进行动态诊断。

可穿戴设备还显示出减少医疗保健费用的巨大作用,减少了不必要的住院费用,并实现个体更好地自我管理和干预。

此外,通过这些技术,可以帮助医生诊断和发现以前不太了解的疾病的治疗方法。

文章指出,尽管可穿戴设备的监测硬件技术进步正在快速发展,广泛存在的非技术问题以及监管和隐私问题,阻碍了监测设备的广泛应用,也是迄今为止远程监测系统的不能取得成功的原因所在。

其中一些问题涉及偿还和保险政策,以及为医院建立保健设施提供资金,这些设施可以利用通过流动数据实现的监测和诊断。

根据一项报告,许多医院现在更加关注移动技术,以降低再入院率,因为75%的再住院是可以避免的。

梅奥诊所的研究表明,参与一项基于智能手机的每日血压和体重记录研究的患者中,只有五分之一需要三个月内需要再住院。没有参加该计划的人需要再住院。

然而,许多患者还没有习惯利用这些可穿戴设备,相关数据提示,目前只有一半拥有这些设备的人在定期使用这些设备。

尤其是老年人,研究数据显示,最近进行的一项研究评估了老年人群中可穿戴设备的使用情况,确定目前很少有老年人使用可穿戴设备,但60%的人使用可穿戴设备感兴趣。

研究建议,应提高公众对可穿戴设备的认知,让她们了解坚持使用可穿戴设备的好处,以及如何帮助及早发现和预防紧急情况。

尽管近年来研究证实了强调了这些新技术的潜在好处,但重要的是要认识到,在主流医疗实践中充分实施和整合这些新技术所需的成本。

这些可穿戴设备的数据存储和传输需要实现标准化。然后,这些数据将需要与当前的电子健康记录系统集成。

医疗专业人员将需要接受培训,以便了解这些设备数据的准确性和局限性,特别是与目前标准的临床设备和设备相比。

新的门诊设备和目前的标准临床设备之间的差距肯定会导致假信号,导致不必要的检测和医疗干预。

尽管所有这些因素肯定会直接和间接增加医疗费用,一种利用这些技术的逐步实施的标准化方法有望以具有成本效益的方式提供更高质量的医疗和生活,并提高患者满意度。

原始来源:
Sana,et al.Wearable Devices for Ambulatory Cardiac Monitoring:JACC State-of-the-Art Review. J Am Coll Cardiol, 2020, 75(13): 1582–1592.

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    2020-09-03 hbwxf
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