Remote Monitoring of Chronic Critically Ill Patients after Hospital Discharge: A Systematic Review
Viderman D. Seri E. Aubakirova M. Abdildin Y. Badenes R. Bilotta F.
February-2 2022MDPI
Journal of Clinical Medicine
2022#11Issue 4
Background: Over the past few decades, critical care has seen many advancements. These advancements resulted in a considerable increase in the prevalence of chronically critically ill patients requiring prolonged medical care, which led to a massive increase in healthcare utilization. Methods: We performed a search for suitable articles using PubMed and Google Scholar from the inception of these databases to 15 May 2021. Results: Thirty-four articles were included in the review and analyzed. We described the following characteristics and problems with chronic critically ill patient management: the patient population, remote monitoring, the monitoring of physiological parameters in chronic critically ill patients, the anatomical location of sensors, the barriers to implementation, and the main technology-related issues. The main challenges in the management of these patients are (1) the shortage of caretakers, (2) the periodicity of vital function monitoring (e.g., episodic measuring of blood pressure leads to missing important critical events such as hypertension, hypotension, and hypoxia), and (3) failure to catch and manage critical physiological events at the right time, which can result in poor outcomes. Conclusions: The prevalence of critically ill patients is expected to grow. Technical solutions can greatly assist medical personnel and caregivers. Wearable devices can be used to monitor blood pressure, heart rate, pulse, respiratory rate, blood oxygen saturation, metabolism, and central nervous system function. The most important points that should be addressed in future studies are the performance of the remote monitoring systems, safety, clinical and economic outcomes, as well as the acceptance of the devices by patients, caretakers, and healthcare professionals.
Chronic critical illness , Critical care , Glucose monitoring , Long-term care , Remote monitoring , Remote neurological monitoring
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Department of Anesthesiology and Intensive Care, Nazarbayev University School of Medicine, Nur-Sultan, 010000, Kazakhstan
Department of Anesthesiology, Critical Care and Pain Medicine, Policlinico Umberto I, “Sapienza” University of Rome, Rome, 00185, Italy
Department of Biomedical Sciences, Nazarbayev University School of Medicine, Nur-Sultan, 010000, Kazakhstan
School of Engineering and Digital Sciences, Nazarbayev University, Nur-Sultan, 010000, Kazakhstan
Department of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clínic Universitari, University of Valencia, Valencia, 46010, Spain
Department of Anesthesiology and Intensive Care
Department of Anesthesiology
Department of Biomedical Sciences
School of Engineering and Digital Sciences
Department of Anesthesiology and Surgical-Trauma Intensive Care
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