Continuous Monitoring of Patients in and After the Acute Admission Ward to Optimize Clinical Pathways
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- Percentage of patients discharged home from acute admission ward
研究概览
简要总结
Hospitals aim to hospitalize patients when necessary and discharge patients when possible. However, the triage process and discharge management of patients in e.g. the Acute Admission Ward, is not a trivial task. The upcoming technology of wearable monitoring devices, whereby patients can be continuously monitored with an unobtrusive vital signs device, might help getting more insight into patients' health condition and thus help facilitate efficient and effective triaging.
Therefore, the primary objective is to assess the effects of continuous monitoring of patients in the acute admission ward (AAW) on the percentage of patients who can be discharged home. Secondary objectives are to assess the length of stay in the acute admission ward and in the in-hospital wards, as well as the effect on admission to the intensive care unit, rapid response team calls and hospital readmission. The predictive value of algorithms applied to the monitoring data combined with other parameters to detect timely deterioration and predict discharge will be assessed. Facilitators and barriers for implementing such a system will be investigated.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •In order for a patient to be eligible to participate in this study, the following criteria need to be met:
- •admitted to the AAW
- •Age ≥ 18 years
- •Able to speak and read Dutch
- •Willing and able to provide written informed consent
排除标准
- •A patient who meets any of the following criteria will be excluded from participation:
- •Not able or willing to wear a wearable sensor on the chest continuously for 14 days
- •Planned major surgery in the upcoming 30 days
- •At the time of AAW admission already known to be discharged home or admitted to the hospital
- •Any skin condition, for example prior rash, discoloration, scars, infection, injury or open wounds at the area (Left lower rib) where the sensor needs to be placed
- •Known sensitivity to medical adhesives
- •Wearing an active implantable device (e.g. ICD, pacemaker)
- •Intend to go to the sauna or go swimming in the upcoming 14 days
- •Pregnant or breastfeeding
- •Use of creams or lotions that are known to influence the skin at the area where sensor is placed (such as medical and non-medical creams or lotions)
研究组 & 干预措施
Monitoring Group
wearable sensor, besides usual care monitoring
干预措施: Wearable Sensor (Device)
Monitoring Group
wearable sensor, besides usual care monitoring
干预措施: Usual Care (Other)
Usual Care group
usual care monitoring
干预措施: Usual Care (Other)
结局指标
主要结局
Percentage of patients discharged home from acute admission ward
时间窗: up to 7 days
Percentage of patients discharged home from acute admission ward
次要结局
- Length of stay in the acute admission ward(up to 7 days)
- Percentage of Intensive Care Unit Admissions(up to 31 days)
- Length of stay in the in-hospital wards(up to 31 days)
- Percentage of Rapid Response Team calls(up to 31 days)
- Percentage of unplanned readmissions to the hospitals(up to 31 days)