Identifying At-Risk Patients and Predicting Deterioration of In-Patients Using Continuous Heart Rate, Respiratory Rate, and Movement Monitoring
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 166
- 试验地点
- 1
- 主要终点
- Sleep Quality
研究概览
简要总结
Currently, all patients in the hospital are woken up throughout the night to check for vital signs, no matter how sick they are. The investigators are doing this study to determine whether skipping routine vital sign checks at night improves participant sleep quality and satisfaction without increasing the risk of adverse events.
详细描述
The purpose of this study is:
- To determine the correlation between subjective and objective sleep quality measures.
- To compare the objective and subjective measures of sleep quality and satisfaction between the intervention group and the control group.
- To compare the adverse event rates in the intervention group and the control group, defined as ICU transfer or cardiac arrest occurring within 24 hours of risk stratification.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years and older
- •Hospitalized on study unit
排除标准
- •Inability to provide consent
- •Non-English speaking
- •Order for physical wound checks
- •Order for cardiac telemetry monitoring
研究组 & 干预措施
Intervention - Risk Stratification
Study participants will be risk stratified according to the eCART scoring algorithm each night. If they are stratified as low risk, they will not receive routine nighttime spot-check vital signs unless indicated by a change in patient status or monitor alarm.
干预措施: Risk Stratification (Behavioral)
Control - Usual Care
Study participants will be woken at night for routine nighttime spot-check vital signs regardless of patient disease severity or risk.
干预措施: Usual Care (Behavioral)
结局指标
主要结局
Sleep Quality
时间窗: 5 days
Pittsburgh Sleep Quality Index
次要结局
- Adverse Event Rate(within 24 hours of risk stratification)