Pre- en postoperatieve complicaties bij hoog-risico chirurgie : complications clinical deterioration
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The study population includes two patient groups: 1. Patients aged (18 years and older) undergoing elective surgery for resection of malignant tumors of the upper gastrointestinal tract (upper GI patients) 2. Patients aged (70 years and older) undergoing surgery for a hip fracture and admitted to the hospital for pre- or postoperative care (hip fracture patients)
Exclusion criteria
Exclusion criteria: 1. Contraindications for use of vital sign sensor patch (i.e. skin allergy, implanted medical devices) 2. Contact isolation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The study will result in the development of a model for prediction of deterioration requiring escalation of care. The model performance will be assessed in terms of sensitivity and false discovery rate for prediction of deterioration requiring escalation of care within 24 hours, and compared with the currently used Modified Early Warning Score. | — |
Secondary
| Measure | Time frame |
|---|---|
| The study will result in: - Insight in patterns of deterioration, which will be described as characteristics (slopes, absolute values, ratio*s, etc.) observed in vital sign and routine clinical measurements - Insight in methods that can support personalized detection of patters of deterioration - Insight in the potential clinical value of models for prediction of deterioration, which will assessed using the time between prediction of deterioration and current clinical response and compared with the currently used Modified Early Warning Score. | — |
Countries
Netherlands