Does continuous monitoring of vital signs with an alerting system reduce length of hospital stay in post-operative upper gastro-intestinal surgery patients?

Not Applicable

Completed

• Conditions: High-risk upper gastro-intestinal surgical patients; Surgery

• Registration Number: ISRCTN58660550
• Lead Sponsor: Oxford University Hospitals NHS Foundation Trust

Brief Summary

2018 results in https://pubmed.ncbi.nlm.nih.gov/30096079/ (added 26/11/2020)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2014-12-31
• Study Start: 2017-08-11
• Last Update Posted: 7 December 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 407

Inclusion Criteria

1. All patients admitted to the Oxford Radcliffe Hospitals NHS Trust for Upper Gastro-Intestinal Surgery. This will include patients undergoing the following procedures: oesophagectomy, oesophagogastrectomy, gastrectomy, whipples, liver resection, pancreatectomy, gastric bypass, billiary reconstruction and splenectomy.
2. Willing and able to give consent

Exclusion Criteria

1. Patients refusing consent
2. Children (less than 16 years old)
3. Prisoners
4. Pregnant women
5. Patients whose anatomy precludes the use of the required monitoring
6. Patients who are judged to lack capacity at the time of consent
7. Patients who cannot understand written English and for whom no translator can be found

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ength of stay is measured from first return to the ward following initial surgery, to the time at which the surgeon deems the patient fit for hospital discharge. This will be measured once the patient has been discharged from hospital

Secondary Outcome Measures

Name	Time	Method
<br> 1. Mortality determined from hospital records at the point of hospital discharge or death<br> 2. Unplanned ICU admission determined from the ICU electronic record at the point of hospital discharge or death. It is defined as any ICU admission which occurs after initial surgery and only after the patient is admitted to the surgical ward<br> 3. Clinical deteriorations defined with a pick list using data collected from patient records by research nurses throughout hospital stay. Analysis of this will be completed after the end of the study<br> 4. Sensitivity, specificity, positive and negative prediction values of computer-modelled alerting analysed using data collected throughout hospital stay. This analysis will be completed after the end of the study<br>