Patients going home following major surgery are susceptible to complications such as wound infection, abscess formation, malnutrition, poor analgesia, and depression, all of which can develop after the fifth postoperative day and slow recovery. Although current hospital recovery monitoring systems are effective during perioperative and early postoperative periods, they cannot be used when the patient is at home. Measuring and quantifying home recovery is currently a subjective and labor-intensive process. This case report highlights the development and piloting of a wireless body sensor network to monitor postoperative recovery at home in patients undergoing abdominal surgery. The device consists of wearable sensors (vital signs, motion) combined with miniaturized computers wirelessly linked to each other, thus allowing continuous monitoring of patients in a pervasive (unobtrusive) manner in any environment. Initial pilot work with results in both the simulated (with volunteers) and the real home environment (with patients) is presented.
Pervasive sensing is set to transform the future of patient care by continuous and intelligent monitoring of patient well-being. In practice, the detection of patient activity patterns over different time resolutions can be a complicated procedure, entailing the utilisation of multi-tier software architectures and processing of large volumes of data. This paper describes a scalable, distributed software architecture that is suitable for managing continuous activity data streams generated from body sensor networks. A novel pattern mining algorithm is applied to pervasive sensing data to obtain a concise, variableresolution representation of frequent activity patterns over time. The identification of such frequent patterns enables the observation of the inherent structure present in a patient's daily activity for analyzing routine behaviour and its deviations.
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