Vigilance with Vital Signs for early detection of deterioration in hospital wards

Not Applicable

Withdrawn

• Conditions: Clinical deterioration after admission to Neurosurgery ward; Clinical deterioration after admission to Respiratory ward; Respiratory - Other respiratory disorders / diseases; Public Health - Health service research; Surgery - Other surgery

• Registration Number: ACTRN12614000848606
• Lead Sponsor: The University of New South Wales

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-08-07
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Withdrawn
• Sex: All
• Target Recruitment: 528

Inclusion Criteria

All consecutive adult patients including low-risk and high risk who are admitted to the target Neurosurgery or Respiratory Medicine wards with any diagnoses, are able to wear the device under investigation for at least the first three days from admission and can communicate in English (with or without an interpreter).

Exclusion Criteria

Patients who have a Not For Resuscitation order; patients who die within 15 minutes of admission to ward; Patients who cannot communicate in English.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Change in rates of unplanned transfer to intensive care[6 months, 12 months and 24 months];Incidence of deterioration (as defined by monthly rates of rapid response team activations) per 100 admissions to target wards[6 months, 12 months and 24 months];Change in mean and median length of stay (overall and LOS after rapid response team activation)[12 months and 24 months]

Secondary Outcome Measures

Name	Time	Method
Change in length of stay in ICU for those transferred after a rapid response team call[12 months and 24 months];Proportions of patients who have adverse events and had physiological abnormalities present within 8 and 24 hours of the event[12 months and 24 months];Profile of physiological derangement preceding MET calls[12 months and 24 months];Proportions of missed alarms (no alerts in the presence of deterioration) and false alarms (alarms in the absence of deterioration)[6 months and 12 months];Predictive value of different thresholds for single and combined parameters, and correlation with primary outcomes [12 months and 24 months]