SynthesisThe western journal of emergency medicine2026
Advances in Patient Monitoring Systems for Prehospital and Resource-Limited Settings.
Synthesis in The western journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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Authors and funding
4 authors.
Funding
Abstract
introductionVital sign monitoring is essential to the management of critically ill and injured patients. Recent advances in patient monitoring systems have the potential to improve outcomes by providing real-time data and predictive insights, which are particularly valuable in prehospital and resource-limited settings. We conducted a systematic review of the literature to assess the capabilities, performance, and clinical impact of patient monitoring technologies designed for these environments.
methodsIn accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a systematic review using PubMed and Scopus search engines on studies published between 2018-2022 that proposed or tested novel patient monitorint systems with utility in prehospital or resource-limited settings. Two reviewers independently screened studies, and discrepancies were resolved by a senior author. Of 217 studies identified in the search, 40 met the proposed inclusion criteria.
resultsCompared to standard platforms, wearable and contactless systems for patient monitoring demonstrated high accuracy but with delayed responsiveness and less reliable temperature measurements. Artificial intelligence (AI)-based platforms consistently outperformed well-accepted scoring systems in predicting outcomes such as mortality, intensive care unit (ICU) admission, and clinical decompensation. In this review we summarize proposals for prototypes of integrated patient monitoring systems that combine biosensors, AI algorithms, global positioning system, and wireless communication designed to facilitate triage in prehospital settings, and we then compare their components. Various platforms were piloted and demonstrated minimal disruption to workflow and positive user feedback, although most lacked comprehensive cost analyses.
conclusionsEmerging patient monitoring system technologies may enhance remote triage and care delivery, particularly in resource-limited settings. However, significant barriers remain, including cost, limited testing in real-world environments, and the lack of higher tiers of evidence. Future efforts should prioritize field-based testing, usability in low-resource settings, and cost-effectiveness analyses to guide clinical adoption.
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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.