The ICU-Recover Box: Using Smart Technology for Monitoring Health Status After ICU Admission Pilot Study 2.0
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Use of smart technology
研究概览
简要总结
Smart technology could improve quality of care in patients who have been admitted to the ICU and have been discharged from ICU and hospital, by early diagnosis of complications and early (ambulatory) treatment.
With the ICU-Recover Box and its smart technology the investigators see new opportunities to improve patient health and to recognize early if escalation of medical care is needed.
The primary objective of the pilot study is to assess the feasibility of the use of smart technology by persons that have been discharged from the ICU in the twelve months following ICU discharge.
详细描述
Rationale: Smart technology could improve quality of care in patients who have been admitted to the ICU and have been discharged from ICU and hospital, by early diagnosis of complications and early (ambulatory) treatment.
In times of increasing medical care consumption leading to increasing health care costs one has to adopt new ways of acquiring patient-specific knowledge and new ways of delivering care. To obtain this level of insight one needs a smart and connected health care system. With the ICU-Recover Box and its smart technology the investigators see new opportunities to improve patient health and to recognize early if escalation of medical care is needed. By intervening early, one can possibly improve the quality of life for a patient and reduce costs by reducing health care utilization.
Objectives: The primary objective of the pilot study is to assess the feasibility of the use of smart technology by persons that have been discharged from the ICU in the twelve months following ICU discharge. If this pilot study proves to be successful, smart technology will be used in future studies.
Study design: This is a single centre cohort study. Study population: The study population consists of 50 patients who have been discharged from the ICU Department to a general ward of the Leiden University Medical Centre.
Intervention: Patients who consent to take part in the study, receive an ICU-Recover Box on the general ward closely before hospital discharge. The ICU-Recover Box will contain the Corsano CardioWatch 287-2. This is a Conformité Européenne (CE)-marked wristwatch-sized medical device, designed to monitor a comprehensive array of vital parameters, blood pressure, heart rate, heart rate variability, respiratory rate, peripheral oxygen saturation, body temperature and their daily activity.. Results of any of the measurements will never be used for therapy or diagnosis. To calibrate the blood pressure function of the Corsano CardioWatch 287-2, the ICU-Recover Box will contain a blood pressure monitor. Furthermore, patients who take part in this study will be contacted at regular moments by phone (at 1, 2,3, 6, 9, and 12 months) for follow-up on quality of life, health care use, and satisfaction with the home monitoring device.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 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
- •Patient has been admitted to the ICU of the LUMC for > 24 hours.
- •Patient has received mechanical ventilation.
- •Patient masters the English or Dutch language.
- •Patient is able to use smart technology at home. (i.e. Wi-Fi available, sufficient comprehension of smart technology).
- •Patient can be contacted and informed about the ICU-Recover box on one of the clinical wards of the LUMC.
- •Patient is discharged from a ward within the LUMC to home or an extra-hospital facility.
排除标准
- •Patient is < 18 years old.
- •Patient is pregnant.
- •Patient breastfeeds during the course of the study.
- •Patient is discharged for palliative care.
- •Patient is considered an incapacitated adult.
- •Patient is unwilling to sign the informed consent form.
- •Patient is discharged to another hospital.
研究组 & 干预措施
Patients receiving the ICU-recover box containing home monitoring devices
Treatment of subjects on the ICU and on the ward will be conform current practice, protocols and guidelines.
Patients discharged from the ICU will receive an ICU-Recover Box on one of the clinical wards of the LUMC filled with the Corsano CardioWatch 287-2 and a Corsano blood pressure cuff after they have given informed consent. Descriptions of the Corsano CardioWatch 287-2 and the blood pressure cuff are given in further detail in section 6 of this protocol.
Patients will also be asked to answer three short questionnaires regularly via telephone namely the ICU-CONTENT short (37 items), health care utilization questionnaire and the user friendliness questionnaire.
干预措施: The ICU-Recover Box: using smart technology for monitoring health status after ICU admission Pilot 2.0 (Device)
结局指标
主要结局
Use of smart technology
时间窗: 12 months
· The percentage of included post-ICU patients that was able to use and actually did use smart technology for twelve consecutive months.
Acquisition of data
时间窗: 12 months
· That it was possible (y/n) to acquire the data from the remote monitoring and that the investigators were able to store and use the data for analyses
次要结局
- Lessons Learnt(12 months)
- Lessons Learnt(12 months)
研究者
Sesmu M. Arbous, MD PhD MSc
professor dr MS Arbous, anesthesiologist-intensivist
Leiden University Medical Center