Application of the wireless wearable monitoring system improves the turnaround time in gastrointestinal endoscopy center

Abstract Objectives To investigate whether the wireless monitoring system can reduce the turnaround time in gastrointestinal endoscopy center. Methods Enrolled patients were randomly allocated to the study or control group. The primary outcome was the turnaround time. The secondary outcomes included the total time from entering examination room to discharge (T1), the total time of monitoring mean arterial pressure (T5), incidences of hypotension, bradycardia, and hypoxia, evaluation of the medical staff, and rate of effective monitoring. Results 166 patients were analyzed. The turnaround time of study group was significantly shorter than that of control group (1.49 ± 1.82 vs. 4.78 ± 3.77 min, P <.001). The study group had a significantly shorter T1 (44.69 ± 4.54 vs. 49.49 ± 5.53 min, P <.001), but a longer T5 (44.39 ± 4.38 vs. 42.21 ± 4.97 min, P =.012). The medical staff gave higher scores to the wireless monitoring system in terms of practicability and application value ( P <.05), but gave equally high evaluations on data reliability ( P >.05). The rate of effective monitoring was acceptable in both groups. Conclusion Application of the wireless monitoring system in an endoscopy center is feasible and acceptable, and improves the turnaround time. Trial registration This study was registered at the Chinese Clinical Trial Registry on 19 April 2024 (ChiCTR2400083277). Key messages What is already known on this topic? Wireless wearable monitoring system has been applied to the wards. What this study adds? Wireless wearable monitoring system can be used in endoscopy centers and can reduce the turnaround time. How this study might affect research, practice, or policy? This system may further improve the safety of anesthesia by global monitoring.