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| Name | Class |
|---|---|
| Technical University of Denmark | OTHER |
| Rigshospitalet, Denmark | OTHER |
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For patients admitted to the medical ward, it is usually difficult to predict if their clinical condition will deteriorate, however subtle changes in vital signs are usually present 8 to 24 hours before a life-threatening event such as respiratory failure leading to ICU admission, or unanticipated cardiac arrest. Such adverse trends in clinical observations can be missed, misinterpreted or not appreciated as urgent. New continuous and wearable 24/7 clinical vital parameter monitoring systems offer a unique possibility to identify clinical deterioration before patients progress beyond the point-of-no-return, where adverse events are inevitable. The WARD-COPD project aims to determine the number and duration of cardiopulmonary micro events during the first 4 days after hospital admission with Acute Exacerbation of COPD. We will also test the server installation, develop a database of core data and assess the frequency of artefacts and failure to capture the continuous monitoring signal.
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| Measure | Description | Time Frame |
|---|---|---|
| Blood oxygen saturation resulting in a single parameter score of 3 according to EWS algorithm | Hypoxemia: arterial oxygen saturation < 92 % | The patients are monitored for 4 days |
| Heart rate resulting in a single parameter score of 3 according to EWS algorithm | All data from the monitoring will be analyzed using the thresholds from the EWS algorithm and will be sorted into relevant categories. The following thresholds are used: Bradycardia: pulse < 41 bpm Tachycardia: pulse > 130 bpm | The patients are monitored for 4 days |
| Respiratory rate resulting in a single parameter score of 3 according to EWS algorithm | Bradypnea: < 9 breaths/min Tachypnea: > 24 breaths/min | The patients are monitored for 4 days |
| Blood pressure resulting in a single parameter score of 3 according to EWS algorithm | Hypotension: Systolic blood pressure < 91 mmHg Hypertension: Systolic blood pressure > 219 mmHg | The patients are monitored for 4 days |
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Inclusion Criteria:
Adult patients admitted to hospital for Acute Exacerbation of COPD (AECOPD). Investigators will review the electronic patient chart for a primary diagnosis of AECOPD.
Exclusion Criteria:
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Adult patients admitted to hospital for Acute Exacerbation of COPD.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bispebjerg Hospital | Copenhagen | 2400 | Denmark |
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D004417 | Dyspnea |
| D000075902 | Clinical Deterioration |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012120 | Respiration Disorders |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D018450 | Disease Progression |