Chronic Obstructive Pulmonary Disease, Dyspnea
Conditions
Keywords
Wireless monitoring, Continuous monitoring, Vital parameters, Clinical deterioration
Brief summary
For patients admitted to the medical ward, it is usually difficult to predict if their clinical condition will deteriorate, however subtle changes in vital signs are usually present 8 to 24 hours before a life-threatening event such as respiratory failure leading to ICU admission, or unanticipated cardiac arrest. Such adverse trends in clinical observations can be missed, misinterpreted or not appreciated as urgent. New continuous and wearable 24/7 clinical vital parameter monitoring systems offer a unique possibility to identify clinical deterioration before patients progress beyond the point-of-no-return, where adverse events are inevitable. The WARD-COPD project aims to determine the number and duration of cardiopulmonary micro events during the first 4 days after hospital admission with Acute Exacerbation of COPD. We will also test the server installation, develop a database of core data and assess the frequency of artefacts and failure to capture the continuous monitoring signal.
Interventions
None listed
Sponsors
Technical University of Denmark
Rigshospitalet, Denmark
Bispebjerg Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
Adult patients admitted to hospital for Acute Exacerbation of COPD (AECOPD). Investigators will review the electronic patient chart for a primary diagnosis of AECOPD.
Exclusion criteria
* Patient expected not to cooperate. * Patient allergic to plaster, plastic or silicone. * Active therapy withdrawn
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood oxygen saturation resulting in a single parameter score of 3 according to EWS algorithm | The patients are monitored for 4 days | Hypoxemia: arterial oxygen saturation \< 92 % |
| Heart rate resulting in a single parameter score of 3 according to EWS algorithm | The patients are monitored for 4 days | All data from the monitoring will be analyzed using the thresholds from the EWS algorithm and will be sorted into relevant categories. The following thresholds are used: Bradycardia: pulse \< 41 bpm Tachycardia: pulse \> 130 bpm |
| Respiratory rate resulting in a single parameter score of 3 according to EWS algorithm | The patients are monitored for 4 days | Bradypnea: \< 9 breaths/min Tachypnea: \> 24 breaths/min |
| Blood pressure resulting in a single parameter score of 3 according to EWS algorithm | The patients are monitored for 4 days | Hypotension: Systolic blood pressure \< 91 mmHg Hypertension: Systolic blood pressure \> 219 mmHg |
Countries
Denmark
Outcome results
None listed