Continuous Monitoring, Hospital at Home, Remote Monitoring, Vital Signs Monitoring
Conditions
Brief summary
The aim of this observational study is to evaluate the burden and clinical relevance of vital sign alerts during home monitoring in recently discharged medical patients. The primary outcome is the total number of vital sign alerts per patient per day. Secondary outcomes include the number of alerts per specific vital sign parameter, the frequency of alerts during daytime versus evening and nighttime, and the peak alert time during the day. We will compare alert data without filtering to data processed with AI-driven filtering methods to assess if these filters reduce the number of non-actionable alerts while maintaining clinical relevance. Participants will be equipped with wearable devices to continuously monitor heart rate, respiratory rate, blood pressure, and oxygen saturation during the first days after hospital discharge. Vital signs will be transmitted remotely, and alerts will be generated based on predefined thresholds.
Interventions
Continuous monitoring of vital signs performed using up to three CE- and FDA approved devices measuring heart rate, respiratory rate, systolic- and diastolic blood pressure, and SpO2. Data is transmitted to a CE-approved smartphone application that generates alerts in response to deviations based on predefined thresholds for duration and severity.
Sponsors
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 within five days from inclusion.
Exclusion criteria
* Allergy to plaster/silicone, pacemaker or ICD, inability to give informed consent or deemed not able to open the front door when visited by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of vital sign alerts per patient per day | Up to 8 days |
Secondary
| Measure | Time frame |
|---|---|
| Number of alerts per specific vital sign parameter per patient per 24-hour period | Up to 8 days |
| Frequency of any vital sign alert per hour analyzed as daytime (08.00-15.59) vs. evening and nighttime (16.00-07.59) | Up to 8 days |
| The hour of day with highest frequency of alerts | up to 8 days |
Countries
Denmark
Outcome results
None listed