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Why? The investigators are trying to find out if participants that suddenly deteriorate on the ward can be identified sooner by wearing a wearable sensor. This is an important study to see if the sensor works correctly in recording continuous vital observations of heart rate, respiratory rate and temperature. This information can help doctors and nurses identify un-well participants.
What? The investigators will ask the participants to wear a light wearable sensor on the chest that can be worn for 5 days. If the participants are still in hospital after this time the sensor can be changed. All sensors are disposable. The participants would not have to actively do anything to the sensor. We will also participants to complete a short questionnaire about the sensor.
Who? All participants on the ward that are admitted with a new medical or surgical problem can take part in the study. Participants undergoing a surgical procedure that require at least one overnight stay are eligible to take part in this study.
Where? This study is being conducted at West Middlesex University Hospital and St Marys Hospital Paddington. Only certain wards are being included at both sites, if the participant moves wards the sensor will be removed.
How? The study will last around 5 years and we aim to recruit 1000 participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-implementation | Pre-implementation of digital alerting sensor systems | ||
| Post-implementation | Implementation of digital alerting sensor systems |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SensiumVitals wearable patch sensor | Device | Wearable sensor which measures heart rate, respiratory rate, and temperature continuously. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to acknowledge alert | Time to acknowledge alert on mobile device/central monitoring station | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital length of stay | hospital length of stay | through study completion, an average of 1 year |
| Mortality | Mortality within 30 days following discharge |
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Inclusion Criteria:
Exclusion Criteria:
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All adults admitted to general wards who will be staying at least 24h within hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fahad M Iqbal, MBChB (hons) | Contact | 02033326840 | f.iqbal@imperial.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Meera Joshi, MRCS, PhD | Honorary research fellow | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| West Middlesex University Hospital | Recruiting | London | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35832414 | Derived | Iqbal FM, Joshi M, Fox R, Koutsoukou T, Sharma A, Wright M, Khan S, Ashrafian H, Darzi A. Outcomes of Vital Sign Monitoring of an Acute Surgical Cohort With Wearable Sensors and Digital Alerting Systems: A Pragmatically Designed Cohort Study and Propensity-Matched Analysis. Front Bioeng Biotechnol. 2022 Jun 27;10:895973. doi: 10.3389/fbioe.2022.895973. eCollection 2022. | |
| 35794669 |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D000075902 | Clinical Deterioration |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| through study completion, an average of 1 year |
| Hospital readmissions | through study completion, an average of 1 year |
| intensive care step up | ITU step up | through study completion, an average of 1 year |
| Derived |
| Joshi M, Ashrafian H, Arora S, Sharabiani M, McAndrew K, Khan SN, Cooke GS, Darzi A. A pilot study to investigate real-time digital alerting from wearable sensors in surgical patients. Pilot Feasibility Stud. 2022 Jul 6;8(1):140. doi: 10.1186/s40814-022-01084-2. |
| 33944790 | Derived | Iqbal FM, Joshi M, Khan S, Ashrafian H, Darzi A. Implementation of Wearable Sensors and Digital Alerting Systems in Secondary Care: Protocol for a Real-World Prospective Study Evaluating Clinical Outcomes. JMIR Res Protoc. 2021 May 4;10(5):e26240. doi: 10.2196/26240. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D018450 | Disease Progression |
| D020969 | Disease Attributes |