ArticleJMIR perioperative medicine2020
Wireless Remote Home Monitoring of Vital Signs in Patients Discharged Early After Esophagectomy: Observational Feasibility Study.
Article in JMIR perioperative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Readiness for implementation of novel digital health interventions for postoperative monitoring: a systematic review and clinical innovation network analysis.The Lancet. Digital health · 2023Pooled it
- Post-discharge after surgery Virtual Care with Remote Automated Monitoring-1 (PVC-RAM-1) technology versus standard care: randomised controlled trial.BMJ (Clinical research ed.) · 2021Trial
- Remote Vital Sign Monitoring in Acutely Unwell Hospital at Home Patients: Nonrandomized Feasibility Study.JMIR formative research · 2026Article
- Feasibility and safety of early discharge after robot-assisted uro-oncologic surgery using wearable telemonitoring.Journal of robotic surgery · 2026Article
- Applications of artificial intelligence in postoperative surveillance and management of esophageal squamous cell carcinoma.Frontiers in artificial intelligence · 2026Review
- Continuous remote monitoring of postoperative vital signs with the Biobeat patch: A multicenter prospective observational study.PloS one · 2026Observational
- Discharge with a smartphone application for follow-up after day care surgery: a randomised controlled trial.BJA open · 2025Article
- Organizing Telemonitoring-Decision-Making Between Centralized and Distributed Models in the Netherlands, Using the Non-Adoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) Framework: Case Study.JMIR medical informatics · 2025Article
- Predictors and Significance of Readmission after Esophagogastric Surgery: A Nationwide Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- "I can't imagine having to do it on your own": a qualitative study on postoperative transitions in care from the perspectives of older adults with frailty.BMC geriatrics · 2023Article
- Six-Lead Electrocardiography Enables Identification of Rhythm and Conduction Anomalies of Patients in the Telemedicine-Based, Hospital-at-Home Setting: A Prospective Validation Study.Sensors (Basel, Switzerland) · 2023Article
- Lessons Learned from Telemonitoring in an Outpatient Bariatric Surgery Pathway-Secondary Outcomes of a Patient Preference Clinical Trial.Obesity surgery · 2023Article
- Remote Home Monitoring of Continuous Vital Sign Measurements by Wearables in Patients Discharged After Colorectal Surgery: Observational Feasibility Study.JMIR perioperative medicine · 2023Article
- Article
- A 360 degree mixed-methods evaluation of a specialized COVID-19 outpatient clinic and remote patient monitoring program.BMC primary care · 2022Article
- Adoption of a Postoperative Pain Self-Report Tool: Qualitative Study.JMIR human factors · 2022Article
- Article
- Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA.BJA open · 2022Article
- Article
- Screening for postoperative vital signs abnormalities, and particularly hemodynamic ones, by continuous monitoring: protocol for the Biobeat-Postop cohort study.F1000Research · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospital stays after major surgery are shorter than ever before. Although enhanced recovery and early discharge have many benefits, some complications will now first manifest themselves in home settings. Remote patient monitoring with wearable sensors in the first days after hospital discharge may capture clinical deterioration earlier but is largely uncharted territory.
objectiveThis study aimed to assess the technical feasibility of patients, discharged after esophagectomy, being remotely monitored at home with a wireless patch sensor and the experiences of these patients. In addition, we determined whether observing vital signs with a wireless patch sensor influences clinical decision making.
methodsIn an observational feasibility study, vital signs of patients were monitored with a wearable patch sensor (VitalPatch, VitalConnect Inc) during the first 7 days at home after esophagectomy and discharge from hospital. Vital signs trends were shared with the surgical team once a day, and they were asked to check the patient's condition by phone each morning. Patient experiences were evaluated with a questionnaire, and technical feasibility was analyzed on a daily basis as the percentage of data loss and gap durations. In addition, the number of patients for whom a change in clinical decision was made based on the results of remote vital signs monitoring at home was assessed.
resultsPatients (N=20) completed 7 days each of home monitoring with the wearable patch sensor. Each of the patients had good recovery at home, and remotely observed vital signs trends did not alter clinical decision making. Patients appreciated that surgeons checked their vital signs daily (mean 4.4/5) and were happy to be called by the surgical team each day (mean 4.5/5). Wearability of the patch was high (mean 4.4/5), and no reports of skin irritation were mentioned. Overall data loss of vital signs measurements at home was 25%; both data loss and gap duration varied considerably among patients.
conclusionsRemote monitoring of vital signs combined with telephone support from the surgical team was feasible and well perceived by all patients. Future studies need to evaluate the impact of home monitoring on patient outcome as well as the cost-effectiveness of this new approach.
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