Healthy
Conditions
Keywords
Gastrointestinal Endoscopic Procedure with sedation
Brief summary
Researchers are assessing the accuracy and safety of wearable technology in subjects undergoing endoscopic gastrointestinal procedures with sedation.
Detailed description
This is a prospective, non-blinded, exploratory study to assess the accuracy and safety of wearable devices in the endoscopy suite with patients undergoing procedures using anesthesia assisted sedation using smart watches. We will also simultaneously perform an assessment of patient and provider preferences using narrative-driven, qualitative evaluation.
Interventions
Wearable watch technology that has the ability to measure heart rate, respiratory rate, single-lead electrocardiography, and blood oxygen saturation.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults over 18 years of age. * Undergoing anesthesia-assisted endoscopic procedures. * Able to give appropriate consent to the study or have an appropriate representative to do so.
Exclusion criteria
* Pregnancy. * Physical deformity, wound, or dressing preventing placement of a wearable device on the wrist. * Allergy to aluminum, nickel or acrylate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recorded Tachycardia Events | Anesthesia Duration, approximately 30 to 45 minutes | Number of tachycardia events recorded as defined as heart rate \> 100 bpm |
| Recorded Bradycardia Events | Anesthesia Duration, approximately 30 to 45 minutes | Number of bradycardia events recorded as defined as heart rate \< 60 bpm |
| Recorded Desaturation Events | Anesthesia Duration, approximately 30 to 45 minutes | Number of desaturation events recorded as defined as peripheral O2 saturation \<88% |
| Recorded Arrhythmia Events | Anesthesia Duration, approximately 30 to 45 minutes | Number of arrhythmia events recorded |
| Recorded Tachypnea | Anesthesia Duration, approximately 30 to 45 minutes | Number of tachypnea events recorded as defined as respiratory rate \>18 breaths per minute |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Patients Undergoing Gastrointestinal Endoscopy With Sedation Patients who underwent an endoscopic gastrointestinal procedure with sedation as part of standard of care who wore a consumer-facing wearable smart watch for the duration of the procedure. | 292 |
| Total | 292 |
Baseline characteristics
| Characteristic | Patients Undergoing Gastrointestinal Endoscopy With Sedation | — |
|---|---|---|
| Age, Continuous | 60.0 years | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 173 Participants | — |
| Sex: Female, Male Male | 119 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 292 |
| other Total, other adverse events | 0 / 292 |
| serious Total, serious adverse events | 0 / 292 |
Outcome results
Recorded Arrhythmia Events
Number of arrhythmia events recorded
Time frame: Anesthesia Duration, approximately 30 to 45 minutes
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Arrhythmia Events | Anesthesia Monitoring | 1 events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Arrhythmia Events | Smartwatch | 0 events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Arrhythmia Events | Smartwatch accessories | 0 events |
Recorded Bradycardia Events
Number of bradycardia events recorded as defined as heart rate \< 60 bpm
Time frame: Anesthesia Duration, approximately 30 to 45 minutes
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Bradycardia Events | Anesthesia Monitoring | 119 Events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Bradycardia Events | Smartwatch | 67 Events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Bradycardia Events | Accessories | 33 Events |
Recorded Desaturation Events
Number of desaturation events recorded as defined as peripheral O2 saturation \<88%
Time frame: Anesthesia Duration, approximately 30 to 45 minutes
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Desaturation Events | Anesthesia Monitoring | 91 events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Desaturation Events | Smartwatch | 0 events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Desaturation Events | Smartwatch Accessories | 71 events |
Recorded Tachycardia Events
Number of tachycardia events recorded as defined as heart rate \> 100 bpm
Time frame: Anesthesia Duration, approximately 30 to 45 minutes
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Tachycardia Events | Anesthesia Monitoring | 9 Events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Tachycardia Events | Smartwatch | 3 Events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Tachycardia Events | Smartwatch Accessories | 22 Events |
Recorded Tachypnea
Number of tachypnea events recorded as defined as respiratory rate \>18 breaths per minute
Time frame: Anesthesia Duration, approximately 30 to 45 minutes
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Tachypnea | Anesthesia Monitoring | 29 events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Tachypnea | Smartwatch | 0 events |
| Patients Undergoing Gastrointestinal Endoscopy With Sedation | Recorded Tachypnea | Smartwatch accessories | 0 events |