During 2020-2021, the COVID-19 pandemic exposed significant vulnerabilities in hospital safety, with oxygen-related fires and explosions occurring at twice the usual rate. This highlighted insufficient preparedness for increased oxygen therapy demands and the associated risks of oxygen-enriched atmospheres. This study aimed to develop and test a smart monitoring system to detect increased oxygen concentrations in hospital environments, mitigating the risk of fires. Based on Internet of Things (IoT) technology, the system includes wireless sensors that measure oxygen levels at regular intervals and transmit the data to a database. Alerts are sent to hospital staff via short message service and e-mail when oxygen levels exceed predefined thresholds. The sensors were deployed in an intensive care unit and were validated through real-time measurements under hospital conditions. The system demonstrated high accuracy (±1%) in monitoring oxygen concentrations with low power consumption (345 µA for oxygen concentration measurements taken every minute). Notifications reliably informed staff of oxygen level thresholds, enabling timely interventions. The proposed IoT-based smart monitoring system is a cost-effective and efficient solution for improving safety in medical environments.

• Klíčová slova
• Internet of Things (IoT) technology, Low power sensor., Oxygen-related fire prevention, Smart medical gas detection, Wireless oxygen monitoring,
• MeSH
• bezdrátová technologie MeSH
• COVID-19 * MeSH
• internet věcí MeSH
• jednotky intenzivní péče MeSH
• kyslík * analýza   MeSH
• lidé MeSH
• monitorování fyziologických funkcí metody   MeSH
• nemocnice MeSH
• oxygenoterapie metody   MeSH
• pandemie MeSH
• pilotní projekty MeSH
• SARS-CoV-2 izolace a purifikace   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• kyslík * MeSH

INTRODUCTION: Exercise-based cardiac rehabilitation (CR) is a beneficial tool for the secondary prevention of cardiovascular diseases with, however, low participation rates. Telerehabilitation, intergrading mobile technologies and wireless sensors may advance the cardiac patients' adherence. This study will investigate the efficacy, efficiency, safety and cost-effectiveness of a telerehabilitation programme based on objective exercise telemonitoring and evaluation of cardiorespiratory fitness. METHODS AND ANALYSIS: A supervised, parallel-group, single-blind randomised controlled trial will be conducted. A total of 124 patients with coronary disease will be randomised in a 1:1 ratio into two groups: intervention telerehabilitation group (TELE-CR) (n=62) and control centre-based cardiac rehabilitation group (CB-CR) (n=62). Participants will receive a 12-week exercise-based rehabilitation programme, remotely monitored for the TELE-CR group and standard supervised for the CB-CR group. All participants will perform aerobic training at 70% of their maximal heart rate, as obtained from cardiopulmonary exercise testing (CPET) for 20 min plus 20 min for strengthening and balance training, three times per week. The primary outcomes will be the assessment of cardiorespiratory fitness, expressed as peak oxygen uptake assessed by the CPET test and the 6 min walk test. Secondary outcomes will be the physical activity, the safety of the exercise intervention (number of adverse events that may occur during the exercise), the quality of life, the training adherence, the anxiety and depression levels, the nicotine dependence and cost-effectiveness. Assessments will be held at baseline, end of intervention (12 weeks) and follow-up (36 weeks). ETHICS AND DISSEMINATION: The study protocol has been reviewed and approved by the Ethics Committee of the University of Thessaly (1108/1-12-2021) and by the Ethics Committee of the General University Hospital of Larissa (3780/31-01-2022). The results of this study will be disseminated through manuscript publications and conference presentations. TRIAL REGISTRATION NUMBER: NCT05019157.

• Klíčová slova
• cardiology, rehabilitation medicine, telemedicine,
• MeSH
• jednoduchá slepá metoda MeSH
• kardiovaskulární rehabilitace * metody   MeSH
• koronární nemoc * rehabilitace   MeSH
• kvalita života MeSH
• lidé MeSH
• nositelná elektronika * MeSH
• randomizované kontrolované studie jako téma MeSH
• telerehabilitace * metody   MeSH
• terapie cvičením metody   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• protokol klinické studie MeSH