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Early Identification of Clinical Deterioration Using a Wearable Monitoring Device

Early Identification of Hospitalized Patients at High-risk for Clinical Deterioration During the First 72-hours in an Internal Medicine Department. A Prospective, Continuous, Physiologic Big-data-analysis Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04220359
Enrollment
410
Registered
2020-01-07
Start date
2020-07-06
Completion date
2021-04-30
Last updated
2021-05-25

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

Conditions

Clinical Deterioration, Hemodynamic Instability

Keywords

vital signs, clinical deterioration, early prediction, non-invasive monitoring

Brief summary

This study aims to provide myriad of physiological parameters in patients admitted in an internal medicine department, and which are defined as being in an increased risk of clinical deterioration within the first 72-hours after admission. The investigators will also conduct a retrospective comparison between physiological changes in patients who did deteriorate to those who did not. This will form the basis for the development of an algorithm for early prediction and warning of physiological and clinical deterioration during the first 72-hours of admission.

Interventions

Prospective monitoring with retrospective big-data analysis

Sponsors

Sheba Medical Center
CollaboratorOTHER_GOV
Biobeat Technologies Ltd.
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

* Males and females 18 years old and above admitted to the internal medicine department * On admission, the primary investigator assess their risk to deteriorate during the first 72 hours after admission as reasonably high * The patient is assigned to a monitoring bed within the department * The patient has signed an informed consent form

Exclusion criteria

* Lack of informed consent * It is known in advance that the patient cannot take part in the study for a 72-hours period (e.g. a patient that will be taken to surgery within the next 24 hours) * Technical inability to attach the Biobeat patch (BB-613PW) to the patients chest

Design outcomes

Primary

MeasureTime frameDescription
Monitoring blood pressure changes in high-risk patients72 hours per individualThe investigators will record blood pressure measurements using a non-invasive wireless monitoring device working continuously for 72 hours in high-risk patients.

Secondary

MeasureTime frameDescription
Monitoring early heart rate changes in high-risk patients72 hours per individualThe investigators will record heart rate using a non-invasive wireless monitoring device working continuously for 72 hours in high-risk patients.
Monitoring respiratory rate changes in high-risk patients72 hours per individualThe investigators will record respiratory rate using a non-invasive wireless monitoring device working continuously for 72 hours in high-risk patients.
Monitoring blood oxygen saturation changes in high-risk patients72 hours per individualThe investigators will record blood oxygen saturation using a non-invasive wireless monitoring device working continuously for 72 hours in high-risk patients.
Monitoring stroke volume changes in high-risk patients72 hours per individualThe investigators will record stroke volume measurements using a non-invasive wireless monitoring device working continuously for 72 hours in high-risk patients.
Monitoring cardiac output changes in high-risk patients72 hours per individualThe investigators will record cardiac output measurements using a non-invasive wireless monitoring device working continuously for 72 hours in high-risk patients.

Countries

Israel

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026