Does continuous monitoring of vital signs with an alerting system reduce length of hospital stay in post-operative upper gastro-intestinal surgery patients?

Does continuous monitoring of vital signs with an alerting system reduce length of hospital stay in post-operative upper gastro-intestinal surgery patients? A non-randomised study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN58660550

Enrollment

400

Registered

2017-08-11

Start date

2009-05-01

Completion date

Unknown

Last updated

2020-12-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

High-risk upper gastro-intestinal surgical patients Surgery High-risk upper gastro-intestinal surgical patients

Interventions

A clinical trial of a ‘Computer-Alerting Monitoring System’ compared with the standard ‘Track-and-Trigger’ system in elective upper GI surgical patients. The study will be divided into four phases:

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. All patients admitted to the Oxford Radcliffe Hospitals NHS Trust for Upper Gastro-Intestinal Surgery. This will include patients undergoing the following procedures: oesophagectomy, oesophagogastrectomy, gastrectomy, whipples, liver resection, pancreatectomy, gastric bypass, billiary reconstruction and splenectomy. 2. Willing and able to give consent

Exclusion criteria

Exclusion criteria: 1. Patients refusing consent 2. Children (less than 16 years old) 3. Prisoners 4. Pregnant women 5. Patients whose anatomy precludes the use of the required monitoring 6. Patients who are judged to lack capacity at the time of consent 7. Patients who cannot understand written English and for whom no translator can be found

Design outcomes

Primary

Measure	Time frame
Length of stay is measured from first return to the ward following initial surgery, to the time at which the surgeon deems the patient fit for hospital discharge. This will be measured once the patient has been discharged from hospital	—

Secondary

Measure	Time frame
1. Mortality determined from hospital records at the point of hospital discharge or death 2. Unplanned ICU admission determined from the ICU electronic record at the point of hospital discharge or death. It is defined as any ICU admission which occurs after initial surgery and only after the patient is admitted to the surgical ward 3. Clinical deteriorations defined with a pick list using data collected from patient records by research nurses throughout hospital stay. Analysis of this will be completed after the end of the study 4. Sensitivity, specificity, positive and negative prediction values of computer-modelled alerting analysed using data collected throughout hospital stay. This analysis will be completed after the end of the study	—

Measure

Time frame

1. Mortality determined from hospital records at the point of hospital discharge or death 2. Unplanned ICU admission determined from the ICU electronic record at the point of hospital discharge or death. It is defined as any ICU admission which occurs after initial surgery and only after the patient is admitted to the surgical ward 3. Clinical deteriorations defined with a pick list using data collected from patient records by research nurses throughout hospital stay. Analysis of this will be completed after the end of the study 4. Sensitivity, specificity, positive and negative prediction values of computer-modelled alerting analysed using data collected throughout hospital stay. This analysis will be completed after the end of the study

—

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026