Clinical Outcomes After Implementation of COntinuous Vital Sign Monitoring On the General Ward.

Completed

• Conditions: Clinical Deterioration
• Interventions: Other: Continuous Monitoring

• Registration Number: NCT04189653
• Lead Sponsor: Radboud University Medical Center

Brief Summary

In 2018, continuous monitoring (CM) of 5 vital signs with a wearable device, including automated MEWS calculation within the EMR were introduced on the surgical and internal medicine ward of our hospital. Rather than taking the measurements manually, this enabled the nurses to periodically validate the continuously derived vital signs at the protocolled moments, and simultaneously get an automatically calculated MEWS reading,. Moreover, continuous vital sign monitoring provides single channel alarms and trends of the vital signs in between the regular measurement moments. Compared to periodic manual measurements and registration in the EMR, the continuous vital sign monitoring and automated MEWS calculations in the EMR may result in better identification of clinical deterioration, and may improve clinical outcome.

The primary objective of this study is to evaluate changes in total hospital and ward stay, "Total Events" during admission (rapid response team (RRT) calls and unexpected intensive care unit (uICU) admissions and deaths) after implementation of CM on the regular surgical and internal medicine wards. Secondary objective is to evaluate changes in MEWS scores at the moment of the uICU admissions, length of hospital, ward and ICU stay and the proportion of RRT calls that results in a ICU admission.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2018-08-01
• Primary Completion: 2019-08-01
• Status Verified: 2019-11
• Study First Submitted: 2019-12-04
• Study First Submitted QC: 2019-12-04
• Study First Posted: 2019-12-06
• Study Completion: 2020-08-01
• Last Update Submitted: 2022-09-06
• Last Update Posted: 2022-09-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3896

Inclusion Criteria

• Admission on Inclusion ward.

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Exclusion Criteria

• Opt out of file study

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
General Ward Inpatients 2018-2019	Continuous Monitoring	ALL General Ward Inpatients on our Gastro-Enterology Surgery ward and Internal Medicine ward in the period august 1st 2018-august 31st 2019.

Primary Outcome Measures

Name	Time	Method
Rapid Response Team Activations	During ward admission, from moment of arival on ward till discharge or transfer, average of 4 days.	Rapid Response Team Activations
Unexpected Intensive Care Unit Admissions	During ward admission, from moment of arival on ward till discharge or transfer, average of 4 days.	Unexpected Intensive Care Unit Admissions

Secondary Outcome Measures

Name	Time	Method
Length of Stay	During ward, ICU and hospital admission, till discharge, transfer to other hospital or death. Average of 5 days.	Length of stay on the ward, ICU and Hospital stay as whole

Trial Locations

Locations (1)

Radboudumc; 🇳🇱 Nijmegen, Gelderland, Netherlands