Chronic Obstructive Pulmonary Disease, Community-acquired Pneumonia
Conditions
Keywords
wearable, Current Health platform, 30 day readmission
Brief summary
Risk of rehospitalization within 30 days of discharge is higher than 20% in patients with chronic obstructive pulmonary disease (COPD) and up to 20% for patients with community acquired pneumonia (CAP). This pre-post intervention study aims to quantify the impact of continuous remote patient monitoring (RPM) on rates of hospital readmission for patients presenting with CAP or exacerbation of COPD and compare the intervention group to historical controls that did not have access to the intervention. We hypothesize that an intervention combining remote patient monitoring with the remote clinical services and escalation pathways available at SSH (including the Mobile Integrated Health (MIH) program) will reduce hospital readmission within the 30 days following hospital discharge compared to standard of care in this population.
Interventions
DEVICECurrent Health platform
A remote patient monitoring system which includes a small footprint device and tablet, combined with an AI-powered, cloud-based system driving advanced real-time and predictive analytics related to a patient's clinical condition. The wearable records heart rate, respiratory rate, oxygen saturation, skin temperature and step count.
Sponsors
South Shore Hospital
Current Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 21 years or older * confirmed diagnosis of moderate-severe COPD or community acquired pneumonia * attendance at South Shore Hospital with an exacerbation of COPD / CAP * fit for discharge to home
Exclusion criteria
* suspicion of COVID-19 or confirmed COVID-19 positive * life-threatening exacerbation requiring invasive ventilation or prolonged stay in critical care (\> 24 hours) * unable/unwilling to use Current Health * bilateral axillary lymph node dissection * persistent atrial fibrillation * heavy tattooing on upper arms * discharged to skilled nursing facility * no access to home or mobile telephone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants with a hospital readmission | up to 30 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to service use | up to 30 days | — |
| Rate of clinical visits | up to 30 days | telehealth and/or ambulatory visits |
| Length of Stay | up to 30 days | original and subsequent readmissions or emergency department attendance |
| Rate of medication adherence | up to 30 days | — |
| Progression of Disease | up to 30 days | medication requirements, oxygen dependence, spirometric changes |
| Rate of Mortality | up to 30 days | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction as assessed by the Telehealth Usability Questionnaire | up to 30 days | subdomain of the Telehealth Usability Questionnaire that includes 4 questions measured on a 7-point Likert scale. |
Outcome results
None listed