Valoración de la fiabilidad clínica de un sistema inalámbrico de monitorización multiparamétrica en perros

Resumen

Telemonitoring is a variant of telehealth that is based on the use of wireless devices that provide information on health-related parameters. Wireless technology opens the door to the application of constant multiparametric monitoring in conscious patients, exceeding the limit associated with the need for wires inherent in current monitors. The objective of this study was to assess the efficacy of a multiparametric wireless monitoring system in comparison with standard electrocardiogram, heart rate, respiratory rate and temperature measurement systems. Eighteen healthy dogs anesthetized for minor procedures (castration and dental cleaning) were included. Vital signs (electrocardiographic tracing, heart rate, respiratory rate and temperature) were monitored simultaneously by a wireless monitoring system and traditional gold standard measuring equipment. Electrocardiographic tracings of good quality comparable between both methods (wireless and paper) were obtained, which allowed real-time evaluation of sinus rhythm and its several alterations. Duration and voltage measurements varied significantly. The heart rate, respiratory rate and temperature values between methods did not show significant differences, with excellent intraclass correlation values (P <0.001). The contrast sensitivity was 4.9 beats per minute, 2.6 breaths per minute and 0.16 ºC. It is concluded that the evaluated wireless monitoring system provides data of adequate quality for clinical use under these study conditions.