Comparison of Footsteps Using Connected Bracelets with the Timed Up-and-Go Test and the 6-Minutes Walking Test in a Prospective Colorectal Surgery Cohort

Background Wearable devices have been proposed as a novel method for monitoring patients after surgery to track recovery, identify complications early, and improve surgical safety. Previous studies have used a heterogeneous range of devices, methods, and analyses. This review aimed to examine current methods and wearable devices used for monitoring after abdominal surgery and identify knowledge gaps requiring further investigation. Methods A scoping review was conducted given the heterogeneous nature of the evidence. MEDLINE, EMBASE, and Scopus databases were systematically searched. Studies of wearable devices for monitoring of adult patients within 30 days after abdominal surgery were eligible for inclusion. Results A total of 78 articles from 65 study cohorts, with 5153 patients were included. Thirty-one different wearable devices were used to measure vital signs, physiological measurements, or physical activity. The duration of postoperative wearable device use ranged from 15 h to 3 months after surgery. Studies mostly focused on physical activity metrics (71.8 per cent). Continuous vital sign measurement and physical activity tracking both showed promise for detecting postoperative complications earlier than usual care, but conclusions were limited by poor device precision, adherence, occurrence of false alarms, data transmission problems, and retrospective data analysis. Devices were generally well accepted by patients, with high levels of acceptance, comfort, and safety. Conclusion Wearable technology has not yet realized its potential to improve postoperative monitoring. Further work is needed to overcome technical limitations, improve precision, and reduce false alarms. Prospective assessment of efficacy, using an intention-to-treat approach should be the focus of further studies.

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“…Romain et al . showed that postoperative step counts were correlated with preoperative steps 61 . Kovar et al .…”

Section: Resultsmentioning

confidence: 95%

Wearable devices to monitor recovery after abdominal surgery: scoping review

Wells

Penfold

et al. 2022

BJS Open

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“…The search strategy yielded a total of 1525 studies. Following deduplication, 1253 were screened, resulting in 104 studies for full text review, 20 of which were included in this review (Figure 1) [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Table 1 summarises key study characteristics.…”

Section: Study Demographicsmentioning

confidence: 99%

“…Significant correlations were identified between reduced postoperative physical activity and complication occurrence (OR 3.197, p = 0.039) and length of stay (β 4.068, p = 0.013). Another device used by Romain et al [23], the connected bracelets, assessed preoperative and postoperative physical activity. Preoperative step count was significantly associated with increased postoperative physical activity (r = 0.527, p < 0.001).…”

Section: Perioperative Datamentioning

confidence: 99%

Wearable Devices in Colorectal Surgery: A Scoping Review

Kavallieros,

Karakozis,

Hayward

et al. 2024

Cancers

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Wearable devices are increasingly utilised to monitor patients perioperatively, allowing for continuous data collection and early complication detection. There is considerable variability in the types and usage settings of wearables, particularly within colorectal surgery. To address this, a scoping review was conducted to investigate current utilisation of wearable devices in colorectal surgery. A systematic search across MEDLINE and Embase was conducted following PRISMA Scoping Review guidelines. Results were synthesised narratively, categorised by perioperative phase (preoperative; postoperative; combination), and supplemented with descriptive statistics and tables. Out of 1525 studies initially identified, 20 were included, reporting data on 10 different wearable devices. Use of wearable devices varied across settings with those used preoperatively tending to focus on baseline physical status or prehabilitation, while postoperative use centred around monitoring and identification of complications. Wearable devices can enhance perioperative monitoring, enable proactive interventions, and promote personalised care for improved patient outcomes in colorectal surgery.

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“…A previous study showed that preoperative PA was associated with postoperative functional recovery in patients with gastrointestinal cancer 13 ) . Moreover, preoperative and postoperative steps have been moderately positively correlated in patients undergoing colorectal resection 14 ) . Therefore, it can be inferred that preoperative PA and postoperative ambulation are related in patients with gastrointestinal cancer and that postoperative delayed ambulation results in decreased postoperative PA and delayed functional recovery.…”

Section: Introductionmentioning

confidence: 99%

The association between objectively measured preoperative light-intensity physical activity and postoperative ambulation in patients with gastrointestinal cancer

Yanagisawa,

Tatematsu,

Horiuchi

et al. 2024

J Phys Ther Sci

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[Purpose] To clarify the association between preoperative physical activity and postoperative ambulation based on physical activity intensity, and independent of functional capacity and depression, in patients with gastrointestinal cancer. [Participants and Methods] Seventy patients who underwent surgery for primary colorectal or gastric cancer were enrolled. Preoperative moderate-to-vigorous-intensity physical activity, light-intensity physical activity, and sedentary behavior were assessed using an accelerometer. The primary outcome was the days to postoperative first ambulation (capable of independently and continuously walking 150 m). Functional capacity and depression, as confounders, were evaluated by measuring the 6-minute walk distance and using the Hospital Anxiety and Depression Scale. [Results] Of the 70 patients, 28 had insufficient accelerometer data, and 42 were included in the analysis. Preoperative light-intensity physical activity, but not moderate-to-vigorous-intensity physical activity and sedentary behavior, was negatively associated with the days to postoperative first ambulation, after adjusting for age, preoperative functional capacity, and preoperative depression. [Conclusion] Preoperative light-intensity physical activity was associated with the days to postoperative ambulation independently of age, functional capacity, and depression. Hence, predicting delayed ambulation by preoperative light-intensity physical activity in patients with gastrointestinal cancer may be useful.

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Comparison of Footsteps Using Connected Bracelets with the Timed Up-and-Go Test and the 6-Minutes Walking Test in a Prospective Colorectal Surgery Cohort

Cited by 6 publications

References 19 publications

Wearable devices to monitor recovery after abdominal surgery: scoping review

Wearable devices to monitor recovery after abdominal surgery: scoping review

Wearable Devices in Colorectal Surgery: A Scoping Review

The association between objectively measured preoperative light-intensity physical activity and postoperative ambulation in patients with gastrointestinal cancer

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