Continuous monitoring of patients in and after the acute admission ward to optimize clinical pathways

Conditions: patiënten die voor verschillende redenen op de acute opname afdeling komen
patients in the Acute Admission Ward

Registration Number: NL-OMON51219

Lead Sponsor: Rijnstate Ziekenhuis

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 800

Inclusion Criteria

Patients admitted to the Acute Admission Ward of Rijnstate hospital, of whom it
is unknown whether they should be discharged home or admitted to the hospital,
are included in this randomized controlled study.
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

Exclusion Criteria

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)

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Study endpoints: The primary endpoint is the number (%) of patients discharged<br /><br>home from acute admission ward.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary endpoints are length of stay in the acute admission ward and length<br /><br>of stay in the in-hospital wards, the number (%) of Rapid Response Team calls,<br /><br>Intensive Care Unit admissions and unplanned readmissions to the hospital <30<br /><br>days. We expect to be able to (retrospectively) predict deterioration and<br /><br>discharge from the AAW and deterioration at home. Facilitators and barriers for<br /><br>implementing a continuous monitoring system with this wearable sensor will be<br /><br>investigated.</p><br>