Patient Transfer Monitoring System in Hospital Using Mobile IoT Technology

Not Applicable

Completed

Brief Summary: This trial is multi-center prospective study to develop Patient Transfer Monitoring system using mobile lot network and the Risk Factor Detection System and apply to real In-Hospital Patients and verify the efficacy.

Detailed Description: Hospitalized patients who need transfer for a diagnostic examination or rehabilitation therapy during hospitalization, and have a risk of hypoxemia during transfer will be enrolled in this trial. The subjects will be provided with a portable oximeter and a smart-phone which application for monitoring is installed, and oxygen saturation and pulse rate will be checked in real time during transfer. The collected data will be transferred to cloud system via Iot network, and the transmitted data will be monitored in real time via monitoring equipment in the (Patient-hospitalized) ward. If there is a risk, the alarm system is activated so that the medical team is able to check risk factor and manage it immediately.

All the risk factors and severity will be collected during transfer, also these are checked whether the monitoring system and the data transmission system work properly or not, the time from detecting risk factor to medical response, the composition of medical staffs who responding to alarmed risk factors and improvement of the subjects.

Pilot study will be conducted with 20 subjects in Asan medical center. In pilot study, monitoring machines (HR, SpO2 monitor) commonly used in wards or hospitals will be used to verify the stability of oximeter used in this study and the developed risk detection system.

Recruitment & Eligibility

Inclusion Criteria

A hospitalized patients in pulmonology department or rehabilitation hospital who have a risk of decreasing oxygen saturation
A patients who require transfer in the hospital for a diagnostic examination or rehabilitation therapy during hospitalization
Patients who need oxygen saturation monitoring according to the investigator's judgment
Patients who voluntarily agree to study participation and provide written informed consent form

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Patient Transfer Monitoring System	Patient Transfer Monitoring System	-

Primary Outcome Measures

Name	Time	Method
change from baseline in Oxygen saturation	from the beginning to immediately after the end of the patient transfer
frequency of risk factors which are detected during transfer	from the beginning to immediately after the end of the patient transfer
duration of decreased oxygen saturation	from the beginning to immediately after the end of the patient transfer
severity of risk factors which are detected during transfer	from the beginning to immediately after the end of the patient transfer	The severity is assessed as mild(risk factor was resolved without medical staff), moderate(resolved by medical staffs, but returned to the ward), and severe(not resolved by medical staffs, needs other method such as CPCR call, invasive intervention).
reason of decreased oxygen saturation	from the beginning to immediately after the end of the patient transfer
the time from detecting risk factor to medical response	from the beginning to immediately after the end of the patient transfer
Death	from admission to discharge, up to 8 months
medical staffs who managed the alarmed event during transfer	from the beginning to immediately after the end of the patient transfer
admission to intensive care units	from admission to discharge, up to 8 months
Adverse events related to the study	from the beginning to immediately after the end of the patient transfer

Secondary Outcome Measures

Name	Time	Method

Locations (5): Asan Medical Center
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Seoul, Korea, Republic of
DAVINCI hospital
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Daejeon, Korea, Republic of
KyungHee University Medical Center
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Seoul, Korea, Republic of
Kangwon National Univeristy Hospital
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Chuncheon, Gangwon-Do, Korea, Republic of
Wonju Severance Christian Hospital
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Wonju, Korea, Republic of