RecruitingNCT07646730

Wearable Device-Based Early Warning of Postoperative Complications in Thoracic Surgery

Development and Validation of a Wearable Device-Based Early Warning Model for Postoperative Complications in Thoracic Surgery: A Retrospective and Prospective Cohort Study


Sponsor

Tongji Hospital

Enrollment

650 participants

Start Date

Dec 16, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

After thoracic surgery, some patients may develop complications such as lung infection, abnormal heart rhythm, fluid around the lung, prolonged air leak, wound infection, emergency department visits, or hospital readmission. These problems may not be found early if monitoring is only done during routine vital sign checks or follow-up visits. This study will evaluate whether data collected by a wearable device can help identify early warning signs of postoperative complications in patients undergoing thoracic surgery. The wearable device will collect information such as heart rate, oxygen level, skin temperature, physical activity, sleep, and wearing status. The study includes two parts. First, the researchers will review previously collected wearable device and medical record data to develop an early warning model. Second, new patients undergoing thoracic surgery will wear the device from hospital admission until about 30 days after discharge. The model will then be tested to see how well it predicts complications that require medical intervention within 30 days after surgery. The main goal is to evaluate how accurately the wearable device-based model can identify patients who develop postoperative complications and how early the model can provide a warning before the complication is clinically confirmed.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Age 18 years or older.
  • Hospitalized in the Department of Thoracic Surgery of Tongji Hospital and scheduled to undergo thoracic surgery.
  • Able to wear the study-designated wearable device after hospital admission and expected to continue wearing the device and/or uploading data within 30 days after discharge.

Exclusion Criteria5

  • Patients or family members are unwilling to wear the wearable device or unable to meet the required wearing time.
  • Severe or unstable psychiatric disease, such as severe depression or schizophrenia.
  • Pregnancy or lactation.
  • Allergy to the watch strap material or local skin conditions that prevent wearing the device.
  • Unable to complete follow-up within 30 days after discharge.

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Interventions

DEVICEWearable device-based perioperative monitoring

Participants will wear a study wearable device that continuously collects physiological and behavioral data, including heart rate, oxygen saturation, skin temperature, activity, sleep, and wearing status, from hospital admission to approximately 30 days after discharge. The device is used for monitoring and data collection and does not change routine clinical care.


Locations(1)

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

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NCT07646730


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