The impact of wearable continuous vital sign monitoring on deterioration detection and clinical outcomes in hospitalised patients: a systematic review and meta-analysis

Areia, Carlos; Biggs, Christopher; Santos, Mauro; Thurley, Neal; Gerry, Stephen; Tarassenko, Lionel; Watkinson, Peter; Vollam, Sarah

doi:10.1186/s13054-021-03766-4

Critical Care

Table 1 Characteristics of the included studies

From: The impact of wearable continuous vital sign monitoring on deterioration detection and clinical outcomes in hospitalised patients: a systematic review and meta-analysis

Source	Country	Population	Sample size	Interventions		Vital signs measured by WMS					Age (years)		Sex (% male)
Source	Country	Population	Total	Control (EWS)	WMS	HR	RR	SpO2	BP	T	Control	WMS	Control	WMS
Included studies and outcomes
*Meta-analysis*
Skraastad et al. 2019	Norway	General surgery	195	Intermittent vital signs (NEWS)	PSE (NEWS) + ESS	x	x	x	x	x	62	61	63%	63%
Downey et al. 2020	UK	General surgery	135	Intermittent vital signs (NEWS)	SensiumVitals + NEWS	x	x			x	62	65	54%	52%
Downey et al. 2018	UK	General surgery	226	Intermittent vital signs (NEWS)	SensiumVitals + NEWS	x	x			x	63.7	65.2	45%	54%
Kisner et al. 2009	Switzerland	General surgery	357	Intermittent vital signs (Unknown)	Auricall	x		x			62.7	65	75%	75%
Weller et al. 2018	USA	Neurology and neurosurgery	1958	Intermittent vital signs (Unknown)	VisiMobile	x	x	x	x	x	59.3	60.5	58%	54%
Verrillo et al. 2018	USA	Orthopaedic, spinal and trauma general care	849	Intermittent vital signs (Unknown)	VisiMobile	x	x	x	x	x	51.4	54.5	58%	54%
Watkinson et al. 2020	UK	Gastro intestinal surgery	407	Intermittent vital signs (CEWS)	Avant-4100	x		x			63	63	56%	58%
*Narrative*
Weenk et al. 2019	Netherlands	Surgical and internal medicine ward	60*	Intermittent measurement (MEWS)	VisiMobile	x	x	x	x	x	N/A	63	N/A	60%
Weenk et al. 2019	Netherlands	Surgical and internal medicine ward	60*	Intermittent measurement (MEWS)	HealthPatch	x	x			x	N/A	56	N/A	73.3%
Weenk et al. 2020	Netherlands	Surgical and internal medicine ward	90*	Intermittent measurement (MEWS)	VisiMobile	x	x	x	x	x	62	63	67%	60%
Weenk et al. 2020	Netherlands	Surgical and internal medicine ward	90*	Intermittent measurement (MEWS)	HealthPatch	x	x			x		56		73.3%
Monson et al. 2020	USA	Labour and delivery ward	216	Standard external monitoring	Monica Novii	x**					28.6	29.2	0%	0%

WMS: wearable monitoring system, BP: blood pressure, CEWS: centile-based early warning score, ESS: efficacy safety score, EWS: early warning score, HR: heart rate, NEWS: national early warning score, PSE: Patient Status Engine, RR: respiratory rate, SpO2: peripheral oxygen saturation, T: temperature, x: device measures that vital sign. *Same patients. Weenk et al. 2020 added 30 controls. ** Both maternal and fetal heart rate

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ISSN: 1364-8535

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