Abstract:
Objective: To evaluate the clinical efficacy, diagnostic accuracy, and feasibility of integrating smart patches with sensors and artificial intelligence (AI) algorithms for postoperative wound monitoring and the early detection of Surgical Site Infections (SSI).
Methods: A selection of 17 recent studies on biosensor modalities, machine learning, and closed-loop systems was systematically analyzed. Data on diagnostic performance (AUROC, sensitivity), monitored physiological parameters, and clinical workload reduction were extracted.
Results: AI models, particularly LSTM networks, achieved an AUROC of 0.954 and a sensitivity of 0.920 for SSI identification. Image analysis using Vision Transformers achieved an accuracy of 0.73 and an AUROC of 0.81. Clinically, the use of these devices demonstrated a 99.2% agreement with conventional medical assessments and reduced the manual chart review workload by over 90%.
Conclusion: Smart patches and AI represent a disruptive technology with high precision for predicting and detecting SSIs. Although they are in early validation stages and present risks of bias, they offer significant potential, particularly in resource-limited settings.
Biography:
Dr. Agustin Tellez Duarte, Artritis and Orthopaedic Clinic Cozumel, Mexico
Experience: March 18, 2019-Today Spine Surgeon Costamed Cozumel
Calle 1 Sur 101, Adolfo López Mateos, 77640 San Miguel de Cozumel, Q.R . December 2018 to March 12, 2019 Head of Teaching Bite Medical Hospital Prolongación reforma 109, Santa Fé Distrito Federal. December 2018 to March 12, 2019 Chief of Orthopedics and Traumatology Service Bite Medical Hospital Prolongación Reforma 109, Santa Fe, Federal District. August 1, 2005 to Date Director. Institute of High Academic Research, ENARM course, Diplomas and Postgraduates degrees at the: National Medical Center Siglo XXI Anahuac University México. 2012 to March 12, 2019 Orthopedic doctor and traumatologist. Angeles Lomas Hospital. April 2017 to Date Editor Verum Vitae Medical Magazine. August 2017 to Date Teacher Master of Orthopedics and Neurology School of Medicine. Anahuac Norte University Associate Professor. February 2006- July 2006 Associate Professor. Deputy Academic Coordinator. Statistical Extension Administrator. Diploma in Medical Knowledge Update. Department of Research and Extension. Medicine School. Anahuac University
Education: He did Master’s in education Based on Competencies. University of the Valley of Mexico Campus Lomas Verdes. (Currently in progress). Surgery in Spinal Pathology and Infant Deformities.
Hospital Nacional Infantil J.P. Garrahan, Buenos Aires Argentina 2015. Column Surgeon
UNAM, National Institute of Rehabilitation. Mexico DF 2015. Orthopedist and Traumatologist
UNAM, General Hospital of the State "Ernesto Ramos Bours" Sonora 2012. Diploma in Musculoskeletal Ultrasound UNAM, National Rehabilitation Institute 2017. Diploma in Introduction to Research. UNAM, National Rehabilitation Institute 2018. General Surgeon Anahuac University, School of Medicine, Validated by the UNAM. Graduated with Congratulations and Letter of Recommendation from the Director.
Volunteer and Leadership Experience: 2015 October-December: Department of Spinal Pathology at the Hospital Nacional Infantil J.P. Garrahan, Buenos Aires Argentina. 2010 October-December: Department of Orthopedic Surgery at Harbor UCLA (University of California Los Angeles). USA. 2009 Department of Pediatric Orthopedic Surgery HIES (Children's Hospital of the State of Sonora). 2005 Founder of Instituto de Alta Investigación Académica S.C. 2004-2005 Orthopedic Institute, Mercy Hospital, Miami, Florida, USA. 1996-2003 Medical Brigades in communities and regions of Extreme Poverty in Michoacán and Veracruz. 1993-1996 Missions in zones of Veracruz and the State of Mexico teaching to read and to write to the natives of towns in Extreme poverty.
Awards:
1) Member for NASS (North American Spine Society) 2016
2) AO Spine Member 2014
3) Orthopedic and Traumatology Mexican College Member 2012
4) Orthopedic and Traumatology Sonoran Membership 2012
4) First National Place for the UNAM 2010. in the Residency in Orthopedics and Traumatology.
5) Second Place in Free Works in Oral Modality of Investigation of the XXVII Days of Orthopedics 2013, and 58 Annual Meeting of Orthopedics performed in Acapulco Guerrero by the Mexican College of Orthopedics.
6) Best Research Work in the Medical Days of the Ernesto Ramos Bours General Hospital 2011.
7) Speaker at the XIX Meeting of Health Research 2012.
8) Congratulations on the Satisfactory Studies Accreditation at Anahuac University Medical School September 2004.
9) Letter of Recommendation by the Director of the School of Medicine Dr. Tomás Barrientos Fortes February 16, 2004.
