Evidence map›Paper›PMID 37864755›Full record

Observational studyJournal of clinical monitoring and computing2024

Postoperative circadian patterns in wearable sensor measured heart rate: a prospective observational study.

Eveline H J Mestrom, Jonna A van der Stam, Simon W Nienhuijs, Ignace H J T de Hingh, Arjen-Kars Boer, Natal A W van Riel, Volkher Scharnhorst, R Arthur Bouwman

Open access · hybridAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of clinical monitoring and computing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Guideline
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Eveline H J Mestrom *Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands. eveline.mestrom@catharinaziekenhuis.nl.ORCID 0000-0002-5582-5873
Jonna A van der Stam *Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
Simon W NienhuijsDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Ignace H J T de HinghDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Arjen-Kars BoerClinical laboratory, Catharina Hospital, Eindhoven, The Netherlands.
Natal A W van RielDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
Volkher ScharnhorstDepartment of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
R Arthur BouwmanDepartment of Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
Radboud University Nijmegen · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to describe the 24-hour cycle of wearable sensor-obtained heart rate in patients with deterioration-free recovery and to compare it with patients experiencing postoperative deterioration.

methodsA prospective observational trial was performed in patients following bariatric or major abdominal cancer surgery. A wireless accelerometer patch (Healthdot) continuously measured postoperative heart rate, both in the hospital and after discharge, for a period of 14 days. The circadian pattern, or diurnal rhythm, in the wearable sensor-obtained heart rate was described using peak, nadir and peak-nadir excursions.

resultsThe study population consisted of 137 bariatric and 100 major abdominal cancer surgery patients. In the latter group, 39 experienced postoperative deterioration. Both surgery types showed disrupted diurnal rhythm on the first postoperative days. Thereafter, the bariatric group had significantly lower peak heart rates (days 4, 7-12, 14), lower nadir heart rates (days 3-14) and larger peak-nadir excursions (days 2, 4-14). In cancer surgery patients, significantly higher nadir (days 2-5) and peak heart rates (days 2-3) were observed prior to deterioration.

conclusionsThe postoperative diurnal rhythm of heart rate is disturbed by different types of surgery. Both groups showed recovery of diurnal rhythm but in patients following cancer surgery, both peak and nadir heart rates were higher than in the bariatric surgery group. Especially nadir heart rate was identified as a potential prognostic marker for deterioration after cancer surgery.

Indexed as

NeoplasmsWearable Electronic DevicesCircadian RhythmHeart RateHumansProspective StudiesCircadian patternsContinuous monitoringDeteriorationDiurnal rhythmEarly warning scorePostoperative patientsWearable sensor

Identifiers

PMID37864755
PMCPMC10879217
OpenAlexW4387847897

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.