Telemedicine Control Tower for the Post-Anesthesia Care Unit

Not Applicable

Completed

• Conditions: Elective Surgery
• Interventions: Device: Alertwatch - Interaction

• Registration Number: NCT04020887
• Lead Sponsor: Washington University School of Medicine

Brief Summary

A single center prospective before-and-after proof-of-concept study to evaluate a telemedicine center for the PACU.

Detailed Description

A proof-of-concept study in perioperative telemedicine that aims to demonstrate the (i) acceptability and (ii) utility of integrating telemedicine into the PACU environment. This proof-of-concept study will be conducted in the PACU.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2019-03-06
• Study First Submitted QC: 2019-07-12
• Study First Posted: 2019-07-16
• Study Start: 2020-03-01
• Status Verified: 2021-12
• Primary Completion: 2021-12-06
• Study Completion: 2021-12-06
• Results First Submitted: 2022-12-14
• Results First Submitted QC: 2023-07-17
• Last Update Submitted: 2023-07-17
• Results First Posted: 2023-07-19
• Last Update Posted: 2023-07-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 560

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Interaction Phase	Alertwatch - Interaction	In the three months following the observation phase, clinicians in the telemedicine center will interact with clinicians and patients in the two designated PACU bays using audio-visual technology. The clinicians in the telemedicine center will continue to document information on physiological derangements, treatable symptoms, situations requiring urgent medical intervention, and discharge readiness.

Primary Outcome Measures

Name	Time	Method
Difference in Time to PACU Discharge Determination From Observation to Interaction Phase	up to 1 day	The difference in discharge readiness time between the observation and interaction phases will be compared

Secondary Outcome Measures

Name	Time	Method
Demonstrate the Potential Ability of a Remote Telemedicine Center for the PACU to Assist With PACU Functions.	up to 1 day	Percent of patients the telemedicine center participated in the hand-off process from OR to the PACU in both the observation and interaction phases. Participation by the telemedicine center was successful if the telemedicine center could both remotely join the hand-off process and collect relevant patient care information.
Identification of Symptoms Requiring Treatment in PACU Patients	approximately 1 day	Number of patients identified with symptoms requiring treatment in PACU such as pain or nausea in both the observation and interaction phases
Recognition of Situations Requiring Emergency Medical Intervention	approximately 1 day	The number of patients identified requiring emergency medical intervention in both the observation and interaction phases
Detection of Physiological Derangements in PACU Patients	approximately 1 day	The proportion of physiological derangements identified in the telemedicine center in both the observation and interaction phases
Determination of Patient Readiness for PACU Discharge	approximately 1 day	Number of patients determined to be ready for PACU discharge prior to documentation by the PACU Team in both the observation and interaction phases

Trial Locations

Locations (1)

Washington University School of Medicine; 🇺🇸 Saint Louis, Missouri, United States