Continuous Monitoring With Real-time Transmission of Vital Signs to Healthcare Professionals From Patients at Home
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Vital Sign Monitoring
- Sponsor
- Bispebjerg Hospital
- Enrollment
- 83
- Locations
- 1
- Primary Endpoint
- (Re)admission
- Status
- Completed
- Last Updated
- last month
Overview
Brief Summary
The study aims to investigate the use of wireless, continuous monitoring in patients at home including the frequency of alarms triggered by abnormal vital parameters and their significance for (re)hospitalisation/Serious Adverse Events(SAE) and/or death within 30 days.
Detailed Description
Acute hospital admissions challenge the capacity of the healthcare system. Readmission is common among patients with chronic medical diseases, and many patients admitted for acute conditions are often subsequently observed at the hospital for hours and often with one overnight stay for observation purposes alone. Recent medico technical research has allowed continuous and wireless monitoring of patients' vital signs in-hospital, but the practice at home remains uninvestigated. However, the technology has the potential to relieve hospital overcrowding by offering continuous and real time analytics of vital signs in high-risk patients at home.
Investigators
Emilie Sigvardt
Principal investigator
Bispebjerg Hospital
Eligibility Criteria
Inclusion Criteria
- •Adult patients (≥18 years) admitted (with at least one night stay) with an acute medical disease and scheduled for discharge to their own homes
- •Adult patients (≥18 years) who have contacted the EMS and, after assessment by paramedic personnel, not deemed sick enough for immediate hospital admission.
Exclusion Criteria
- •Patients placed on palliative treatment.
- •Acceptable chronically abnormal vital parameters of SpO2\<88%, MAP\<70, RR\>24, or HR\>
- •Allergy to plaster, plastic, or silicone.
- •A pacemaker or Implantable Cardioverter Defibrillator (ICD) device.
- •If the patient was deemed not able to open the front door when visited by the investigator.
- •Inability to give informed consent.
Outcomes
Primary Outcomes
(Re)admission
Time Frame: within 30 days
Defined as acute admission to hospital for at least 12 hours with relation to prior discharge or EMS contact
Serious Adverse Events
Time Frame: within 30 days
Any adverse event, including acute admissions during the observational period. Criteria defined in protocol. Adverse events will be manually categorised as a 'severe adverse event' (SAE), or simple 'adverse event' (AE).
Mortality
Time Frame: within 30 days
Secondary Outcomes
- (Re)admission(within 7 days after discharge/assessment by paramedic personnel)
- Inquiries to the Emergency Medical Service(within 30 days)
- Mortality and types of SAEs(within 30 days)