市販ウェアラブルを使った小児手術合併症の予測研究(Using Fitbits to predict kids’ surgery complications)

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2025-07-09 ノースウェスタン大学

市販ウェアラブルを使った小児手術合併症の予測研究(Using Fitbits to predict kids’ surgery complications)
Scientists trained a smartwatch algorithm using metrics related to the circadian rhythms of a child’s activity and heart rate patterns to retrospectively predict postoperative complications. Getty Images

ノースウェスタン大学らの研究チームは、Fitbitを用いて小児手術後の合併症を予測するAIアルゴリズムを開発し、術後最大3日前に91%の感度で異常を検出できたと報告。対象は虫垂切除術を受けた子ども103人で、活動量や心拍に加え、概日リズムに基づいた新たな指標を利用した点が革新的。これにより、従来の主観的な自己申告に依存せず、より早期かつ正確に術後感染などを検出可能に。今後はリアルタイム通知機能の実装が計画されている。

<関連情報>

消費者向けウェアラブルから得られるバイオリズムが小児の術後合併症を予測する Biorhythms derived from consumer wearables predict postoperative complications in children

Rui Hua, Michela Carter, Megan K. O’Brien, J. Benjamin Pitt, […] , and Arun Jayaraman
Science Advances  Published:9 Jul 2025
DOI:https://doi.org/10.1126/sciadv.adv2643

Abstract

Postoperative complications pose substantial health risks to children who undergo surgery, yet timely detection of complications after discharge is challenging due to reliance on subjective symptom reports from children and caregivers. Alternatively, wearable devices can provide objective health measurements for continuous recovery monitoring, potentially enabling earlier complication detection in the hospital or community. This study examined biorhythm-based metrics (circadian and ultradian rhythms, derived from the daily activity and heart rate patterns recorded by a consumer wearable) and their relationship to postoperative recovery in children with and without complications. Wearables were given to 103 children for 21 days immediately after appendectomy, and biorhythm metrics were extracted from per-minute data. A machine-learned model using these metrics retrospectively predicted postoperative complications up to 3 days before formal diagnosis with 91% sensitivity and 74% specificity. Our findings suggest that wearable-derived biorhythms offer a promising, unobtrusive method for evaluating postoperative recovery. This approach has broad clinical implications for pediatric health monitoring across various care settings.

医療・健康
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