Wearable mobile health device for monitoring postoperative ambulation among patients with colorectal cancer undergoing minimally invasive surgery: A prospective comparison study

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-03-22 DOI:10.1002/rcs.2626

Yu-Tso Liao, Yun-Jen Chou, Chia-Tung Wu, Yu-Hsin Liu, Jin-Tung Liang, Feipei Lai, Shiow-Ching Shun

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引用次数: 0

Abstract

Background

This study aimed to evaluate the feasibility of using mHealth devices for monitoring postoperative ambulation among patients with colorectal cancer undergoing minimally invasive surgery (MIS).

Methods

Patients with colorectal cancer undergoing MIS were prospectively recruited to wear mHealth devices for recording postoperative ambulation between October 2018 and January 2021. The primary outcome was the compliance by evaluating the weekly submission rate of step counts. The secondary outcome was the association of weekly step counts and postoperative length of stay.

Results

Of 107 eligible patients, 53 patients wore mHealth devices, whereas 54 patients did not. The average weekly submission rate was 72.6% for the first month after surgery. The total step counts <4000 or >10 000 in the postoperative week one were negatively associated with postoperative length of stay (β = −2.874, p = 0.038).

Conclusions

mHealth devices provide an objective assessment of postoperative ambulation among patients with colorectal cancer undergoing MIS.

Clinical trial registration

NCT03277235.

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用于监测接受微创手术的结直肠癌患者术后行走情况的可穿戴移动医疗设备：前瞻性对比研究

研究背景本研究旨在评估使用移动医疗设备监测接受微创手术（MIS）的结直肠癌患者术后行走情况的可行性：在2018年10月至2021年1月期间，对接受微创手术的结直肠癌患者进行前瞻性招募，让他们佩戴移动医疗设备记录术后行走情况。主要结果是通过评估每周步数提交率来评估依从性。次要结果是每周步数与术后住院时间的关联：在 107 名符合条件的患者中，53 名患者佩戴了移动医疗设备，54 名患者没有佩戴。术后第一个月的平均每周提交率为 72.6%。术后第一周的总步数 10 000 与术后住院时间呈负相关（β = -2.874，p = 0.038）。结论：移动医疗设备可客观评估接受 MIS 手术的结直肠癌患者的术后行走情况：临床试验注册：NCT03277235。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.