Bridging the gap between ICU and home-based care: A review of wearable technologies and remote monitoring in critical care

Disheeta Bhalsod,Karuna Taksande,Amreesh Paul,Vatsal Patel

Published 2025 in Multidisciplinary Reviews

ABSTRACT

Wearable technologies and remote monitoring are revolutionizing critical care by shifting the focus from the traditional confines of the intensive care unit (ICU) to the patient's home. This paradigm shift utilizes advancements in wearable devices, electronic health record (EHR) integration, and innovative monitoring solutions to bridge the gap between ICU care and home-based management, ultimately improving patient outcomes and reducing healthcare burdens. Recent developments in sensor technology have significantly enhanced real-time monitoring and the precision of collected data. This progress facilitates seamless integration with EHR systems, enabling more informed clinical decision-making. Continuous health monitoring can identify early signs of critical conditions, help prevent avoidable hospital readmissions, and foster improved long-term health outcomes for patients recovering from critical illnesses. This review highlights clinical examples that showcase the effectiveness of remote monitoring in patient care while addressing challenges related to data privacy and security. Issues such as safeguarding sensitive patient information, regulatory compliance, and preventing data breaches are critically analyzed. Strategies for robust data security and best practices are discussed to build trust and ensure patient safety. Ethical considerations surrounding continuous monitoring, such as informed consent and patient autonomy, are explored, providing actionable guidelines to respect and uphold patient rights. Wearable technologies and remote monitoring are redefining critical care, enhancing patient management, and opening new avenues for personalized care delivery. Integrating artificial intelligence into telemedicine will likely drive the evolution of critical care practices. Future research, interdisciplinary collaboration, and ethical foresight will be pivotal in realizing these innovations and shaping the future of critical care.

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