Postoperative circadian patterns in wearable sensor measured heart rate: a prospective observational study

Purpose This study aimed to describe the 24-hour cycle of wearable sensor-obtained heart rate in patients with deterioration-free recovery and to compare it with patients experiencing postoperative deterioration. Methods A prospective observational trial was performed in patients following bariatric...

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Published in:Journal of clinical monitoring and computing 2024-02, Vol.38 (1), p.147-156
Main Authors: Mestrom, Eveline H.J., van der Stam, Jonna A., Nienhuijs, Simon W., de Hingh, Ignace H.J.T., Boer, Arjen-Kars, van Riel, Natal A.W., Scharnhorst, Volkher, Bouwman, R. Arthur
Format: Article
Language:English
Subjects:
Accelerometers
Anesthesiology
Cancer
Cancer surgery
Circadian Rhythm - physiology
Critical Care Medicine
Gastrointestinal surgery
Health Sciences
Heart rate
Heart Rate - physiology
Humans
Intensive
Medicine
Medicine & Public Health
Neoplasms
Original Research
Prospective Studies
Recovery
Rhythm
Sensors
Statistics for Life Sciences
Surgery
Wearable Electronic Devices
Wearable technology
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Summary:Purpose This study aimed to describe the 24-hour cycle of wearable sensor-obtained heart rate in patients with deterioration-free recovery and to compare it with patients experiencing postoperative deterioration. Methods A prospective observational trial was performed in patients following bariatric or major abdominal cancer surgery. A wireless accelerometer patch (Healthdot) continuously measured postoperative heart rate, both in the hospital and after discharge, for a period of 14 days. The circadian pattern, or diurnal rhythm, in the wearable sensor-obtained heart rate was described using peak, nadir and peak-nadir excursions. Results The study population consisted of 137 bariatric and 100 major abdominal cancer surgery patients. In the latter group, 39 experienced postoperative deterioration. Both surgery types showed disrupted diurnal rhythm on the first postoperative days. Thereafter, the bariatric group had significantly lower peak heart rates (days 4, 7–12, 14), lower nadir heart rates (days 3–14) and larger peak-nadir excursions (days 2, 4–14). In cancer surgery patients, significantly higher nadir (days 2–5) and peak heart rates (days 2–3) were observed prior to deterioration. Conclusions The postoperative diurnal rhythm of heart rate is disturbed by different types of surgery. Both groups showed recovery of diurnal rhythm but in patients following cancer surgery, both peak and nadir heart rates were higher than in the bariatric surgery group. Especially nadir heart rate was identified as a potential prognostic marker for deterioration after cancer surgery.
ISSN:1387-1307
1573-2614
DOI:10.1007/s10877-023-01089-z