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van Rossum - Hermans M, Leenen J, Kingma F, Breteler M, van Hillegersberg R, Ruurda J, Kouwenhoven E, van Det M, Luyer M, Nieuwenhuijzen G, Kalkman C, Hermens H
Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy: Interview Study Among Nurses and Surgeons
Recognizing complications after esophagectomy: Expectations of continuous vital signs monitoring at the surgical ward
Mathilde van Rossum - Hermans;
Jobbe Leenen;
Feike Kingma;
Martine Breteler;
Richard van Hillegersberg;
Jelle Ruurda;
Ewout Kouwenhoven;
Marc van Det;
Misha Luyer;
Grard Nieuwenhuijzen;
Cor Kalkman;
Hermie Hermens
ABSTRACT
Background:
Patients undergoing esophagectomy are at serious risk of developing postoperative complications. To support early recognition of clinical deterioration, wireless sensor technologies that enable continuous vital signs monitoring in a ward setting are emerging.
Objective:
This study explored the expectations of nurses and surgeons towards the potential effectiveness and impact of continuous wireless vital signs monitoring in patients admitted to the ward after esophagectomy.
Methods:
Semi-structured interviews were conducted at three esophageal cancer centers in The Netherlands. In each center, two nurses and two surgeons were interviewed regarding their expectations of continuous vital signs monitoring for early recognition of complications after esophagectomy. History of patient characteristics and clinical outcomes were collected in each center and presented to the local participants to support estimations on clinical outcome.
Results:
The majority of nurses and surgeons expected that continuous vital signs monitoring can contribute to earlier recognition of deterioration and may result in earlier treatment of postoperative complications, although the effective time gain will depend on patient- and situational factors. Their expectations regarding the impact of potential earlier diagnosis on clinical outcomes varied. Nevertheless, most caregivers consider implementing continuous monitoring in the surgical ward to support patient monitoring after esophagectomy.
Conclusions:
Caregivers expect that wireless vital signs monitoring provides opportunities for early detection of postoperative complications in patients undergoing esophagectomy admitted to the ward, and may prevent sequelae under certain circumstances. As technology matures, clinical studies are warranted to objectify these expectations and to further investigate the overall effects on patient outcome. Clinical Trial: Not applicable
Citation
Please cite as:
van Rossum - Hermans M, Leenen J, Kingma F, Breteler M, van Hillegersberg R, Ruurda J, Kouwenhoven E, van Det M, Luyer M, Nieuwenhuijzen G, Kalkman C, Hermens H
Expectations of Continuous Vital Signs Monitoring for Recognizing Complications After Esophagectomy: Interview Study Among Nurses and Surgeons