Deployment and validation of a smart bed architecture for untethered patients with wireless biomonitoring stickers.

IF 2.6 4区 医学 Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Medical & Biological Engineering & Computing Pub Date : 2024-12-01 Epub Date: 2024-07-22 DOI:10.1007/s11517-024-03155-3
Tânia Nunes, Luís Gaspar, José N Faria, David Portugal, Telmo Lopes, Pedro Fernandes, Mahmoud Tavakoli
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Abstract

Conventional patient monitoring in healthcare has limitations such as delayed identification of deteriorating conditions, disruptions to patient routines, and discomfort due to extensive wiring for bed-bound patients. To address these, we have recently developed an innovative IoT-based healthcare system for real-time wireless patient monitoring. This system includes a flexible epidermal patch that collects vital signs using low power electronics and transmits the data to IoT nodes in hospital beds. The nodes connect to a smart gateway that aggregates the information and interfaces with the hospital information system (HIS), facilitating the exchange of electronic health records (EHR) and enhancing access to patient vital signs for healthcare professionals. Our study validates the proposed smart bed architecture in a clinical setting, assessing its ability to meet healthcare personnel needs, patient comfort, and data transmission reliability. Technical performance assessment involves analyzing key performance indicators for communication across various interfaces, including the wearable device and the smart box, and the link between the gateway and the HIS. Also, a comparative analysis is conducted on data from our architecture and traditional hospital equipment. Usability evaluation involves questionnaires completed by patients and healthcare professionals. Results demonstrate the robustness of the architecture proposed, exhibiting reliable and efficient information flow, while offering significant improvements in patient monitoring over conventional wired methods, including unrestricted mobility and improved comfort to enhance healthcare delivery.

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利用无线生物监测贴纸,部署和验证用于无牵挂病人的智能床结构。
传统的医疗保健病人监测存在一些局限性,如病情恶化的识别延迟、病人的日常工作被打乱、卧床病人因大量布线而感到不适等。为了解决这些问题,我们最近开发了一种基于物联网的创新型医疗保健系统,用于对病人进行实时无线监控。该系统包括一个灵活的表皮贴片,利用低功耗电子设备收集生命体征,并将数据传输到病床上的物联网节点。节点连接到智能网关,网关汇总信息并与医院信息系统(HIS)连接,从而促进电子健康记录(EHR)的交换,并提高医护人员对患者生命体征的访问速度。我们的研究在临床环境中验证了建议的智能床架构,评估了其满足医护人员需求、病人舒适度和数据传输可靠性的能力。技术性能评估包括分析各种接口(包括可穿戴设备和智能盒,以及网关和 HIS 之间的链接)通信的关键性能指标。此外,还对我们的架构和传统医院设备的数据进行了对比分析。可用性评估包括由患者和医护人员填写的调查问卷。结果表明,所提出的架构非常稳健,信息流可靠高效,与传统的有线方法相比,病人监控功能有了显著改善,包括移动不受限制和提高舒适度,从而加强了医疗服务。
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来源期刊
Medical & Biological Engineering & Computing
Medical & Biological Engineering & Computing 医学-工程:生物医学
CiteScore
6.00
自引率
3.10%
发文量
249
审稿时长
3.5 months
期刊介绍: Founded in 1963, Medical & Biological Engineering & Computing (MBEC) continues to serve the biomedical engineering community, covering the entire spectrum of biomedical and clinical engineering. The journal presents exciting and vital experimental and theoretical developments in biomedical science and technology, and reports on advances in computer-based methodologies in these multidisciplinary subjects. The journal also incorporates new and evolving technologies including cellular engineering and molecular imaging. MBEC publishes original research articles as well as reviews and technical notes. Its Rapid Communications category focuses on material of immediate value to the readership, while the Controversies section provides a forum to exchange views on selected issues, stimulating a vigorous and informed debate in this exciting and high profile field. MBEC is an official journal of the International Federation of Medical and Biological Engineering (IFMBE).
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