Clinical Deterioration, Disease Attributes, Disease Progression, Vital Sign Monitoring
Conditions
Brief summary
The current study aims to investigate the feasibility of transmitting continuous and wireless vital sign data in real time from patients home to the hospital in patients discharged after an acute medical hospitalization
Detailed description
The healthcare system is challenged by an aging patient population with chronic diseases, and acute admissions must be housed in hospitals with fewer beds and less staff resources. This increases the need for earlier discharge and for treatment shifted to the patients' own home. Furthermore, the transition from the hospital to the home setting is one of potential hazard, due to the lack of observation and intervention possibilities. This study aims to investigate the feasibility of wireless, continuous monitoring of patients in the days around discharge after an acute medical hospitalization, as well as occurrence of deviating vital signs i in the patients' own homes during the first days after discharge. Data will be transmitted continuously in real time from patient's homes to mobile applications for portable handheld devices such as healthcare personnel's smartphones.
Interventions
DEVICEWireless and continuously monitoring
Included patients are monitored with WARD equipment during the last part of hospitalization and the first days after discharge with data transmitted in real time to personnel at the hospital. Monitoring will last for a maximum of 72 hours.
Sponsors
Rigshospitalet, Denmark
Technical University of Denmark
Bispebjerg Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (≥18 years) Admitted with an acute medical disease and scheduled for discharge to their own homes within five days from inclusion.
Exclusion criteria
* Allergy to plaster, plastic, or silicone. * A pacemaker or Implantable Cardioverter Defibrillator (ICD) device. * If the patient was deemed not able to open the front door when visited by the investigator. * Inability to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of data collection from the Lifetouch patch | Up to 72 hours of monitoring |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of complete peripheral saturation data | Up to 72 hours of monitoring | — |
| Duration of complete blood pressure data | Up to 72 hours of monitoring | — |
| Cummulated duration of desaturation | Up to 72 hours of monitoring | Peripheral saturation below 88% and 85% |
| Number of events with SpO2 < 85% in at least 5 consecutive minutes | Up to 72 hours of monitoring | — |
| Number of deviating vital parameters in accordance to defined microevents | Up to 72 hours of monitoring | — |
| Number of events with SpO2 < 88% in at least 10 consecutive minutes | Up to 72 hours of monitoring | — |
Other
| Measure | Time frame |
|---|---|
| Re-admission and cause of re-admission within 30-days | 30-days follow up |
| User experiences (patient and personnel) | Within 72 hours of monitoring |
Countries
Denmark
Outcome results
None listed