• shareshare
  • link
  • cite
  • add
Powered by OpenAIRE graph
Found an issue? Give us feedback
auto_awesome_motion View all 4 versions
Other research product . Other ORP type . 2021

Can vital signs recorded in patients’ homes aid decision making in emergency care?: A Scoping Review

Hamza, M.; Alsma, J.; Kellett, J.; Brabrand, M.; Christensen, E.F.; Cooksley, T.; Haak, H.R.; +5 Authors
Open Access
Published: 01 Jun 2021
Country: Netherlands

Aim: Use of tele-health programs and wearable sensors that allow patients to monitor their own vital signs have been expanded in response to COVID-19. We aimed to explore the utility of patient-held data during presentation as medical emergencies. Methods: We undertook a systematic scoping review of two groups of studies: studies using non-invasive vital sign monitoring in patients with chronic diseases aimed at preventing unscheduled reviews in primary care, hospitalization or emergency department visits and studies using vital sign measurements from wearable sensors for decision making by clinicians on presentation of these patients as emergencies. Only studies that described a comparator or control group were included. Studies limited to inpatient use of devices were excluded. Results: The initial search resulted in 896 references for screening, nine more studies were identified through searches of references. 26 studies fulfilled inclusion and exclusion criteria and were further analyzed. The majority of studies were from telehealth programs of patients with congestive heart failure or Chronic Obstructive Pulmonary Disease. There was limited evidence that patient held data is currently used to risk-stratify the admission or discharge process for medical emergencies. Studies that showed impact on mortality or hospital admission rates measured vital signs at least daily. We identified no interventional study using commercially available sensors in watches or smart phones. Conclusions: Further research is needed to determine utility of patient held monitoring devices to guide management of acute medical emergencies at the patients' home, on presentation to hospital and after discharge back to the community.



68 references, page 1 of 7

1 e g A y n a m r e 1 e g A d r a d n a t s n a e s a d e t r o p e r e g

1. Thornton J. The “virtual wards” supporting patients with covid-19 in the community. BMJ 2020;369, doi:

2. Van Der Kluit MJ, Dijkstra GJ, De Rooij SE. The decision-making process for unplanned admission to hospital unveiled in hospitalised older adults: a qualitative study. BMC Geriatr 2018;18:318, doi:http://

3. Emmanuel A, Ismail A, Kellett J. Assessing the need for hospital admission by the Cape Triage discriminator presentations and the simple clinical score. Emerg Med J 2010;27:852 5.

4. Subbe CP, Jishi F, Hibbs RAB. The simple clinical score: a tool for benchmarking of emergency admissions in acute internal medicine. Clin Med J R Coll Phys Lond 2010;10:352 7. [OpenAIRE]

5. Kellett J, Emmanuel A, Deane B. Who will be sicker in the morning? Changes in the Simple Clinical Score the day after admission and the subsequent outcomes of acutely ill unselected medical patients. Eur J Intern Med 2011;22:375 81, doi: ejim.2011.03.005.

6. Bleyer AJ, Vidya S, Russell GB, et al. Longitudinal analysis of one million vital signs in patients in an academic medical center. Resuscitation 2011;82:1387 92, doi: resuscitation.2011.06.033.

7. Chang CY, Abujaber S, Pany MJ, Obermeyer Z. Are vital sign abnormalities associated with poor outcomes after emergency department discharge? Acute Med 2019;18:88 95.

8. Jones M. NEWSDIG: the national early warning score development and implementation group. Clin Med J R Coll Phys Lond 2012;12:501 3.

9. Brink A, Alsma J, Fortuin AW, et al. Prediction models for mortality in adult patients visiting the Emergency Department: a systematic review. Acute Med 2019;18:171 83. [OpenAIRE]

Powered by OpenAIRE graph
Found an issue? Give us feedback
Related to Research communities
Download fromView all 4 sources
Other ORP type . 2021
Data sources: NARCIS