Use of a wrist-mounted device for continuous outpatient physiologic monitoring after transsphenoidal surgery: a pilot study

Pituitary
Tyler S ColeAndrew S Little

Abstract

Patients who undergo transsphenoidal surgery can experience hormonal, electrolyte, and fluid disturbances in the postoperative period leading to outpatient readmissions for medical management. Our goal was to determine whether use of a wrist-mounted physiologic tracking device is feasible in this setting and whether changes or trends in these parameters after discharge can help predict aberrant physiology in these patients. Wrist-mounted physiologic tracking devices that transmit data via Bluetooth to a mobile device were used to monitor patients. Preoperative baseline data and postoperative data were aggregated daily to compare within-patient and between-patient trends. Of 11 patients enrolled in the study, 1 was readmitted for symptomatic hyponatremia. Device data completeness ranged from 78 to 93% with the exception of oxygen saturation (25% completeness). The patient with hyponatremia had a significantly lower baseline level of activity compared with other patients. Nonreadmitted patient activity variables (steps, calories, and distance) decreased by 48-52% after the operation (P < 0.001). The activity variables for the patient with hyponatremia were statistically unchanged after the operation; however, the patient did expe...Continue Reading

References

Nov 21, 2012·Archives of Surgery·Hadiza S KazaureJulie A Sosa
May 15, 2013·Medicine and Science in Sports and Exercise·Kathryn L DanneckerRaymond C Browning
Apr 29, 2014·Journal of Physical Activity & Health·Jeffer Eidi SasakiPatty S Freedson
Apr 30, 2014·Medicine and Science in Sports and Exercise·Jung-Min LeeGregory J Welk
Mar 22, 2015·International Journal of Cardiology·Keith M DiazKarina W Davidson

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Citations

Jan 26, 2022·JMIR MHealth and UHealth·Sophie HuhnSandra Barteit

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