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study never started because reprioritization of clinical research efforts
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| Name | Class |
|---|---|
| South Shore Hospital | OTHER |
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Risk of rehospitalization within 30 days of discharge is higher than 20% in patients with chronic obstructive pulmonary disease (COPD) and up to 20% for patients with community acquired pneumonia (CAP). This pre-post intervention study aims to quantify the impact of continuous remote patient monitoring (RPM) on rates of hospital readmission for patients presenting with CAP or exacerbation of COPD and compare the intervention group to historical controls that did not have access to the intervention. We hypothesize that an intervention combining remote patient monitoring with the remote clinical services and escalation pathways available at SSH (including the Mobile Integrated Health (MIH) program) will reduce hospital readmission within the 30 days following hospital discharge compared to standard of care in this population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Participants will be remotely monitored with the Current Health platform, respond to daily respiratory surveys, receive daily medication reminders and an action plan. Daily dashboard rounds and vital sign alarms from the continuously collected vital signs will be used to identify changes in health and escalated accordingly. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Current Health platform | Device | A remote patient monitoring system which includes a small footprint device and tablet, combined with an AI-powered, cloud-based system driving advanced real-time and predictive analytics related to a patient's clinical condition. The wearable records heart rate, respiratory rate, oxygen saturation, skin temperature and step count. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with a hospital readmission | up to 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time to service use | up to 30 days | |
| Rate of clinical visits | telehealth and/or ambulatory visits | up to 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Satisfaction as assessed by the Telehealth Usability Questionnaire | subdomain of the Telehealth Usability Questionnaire that includes 4 questions measured on a 7-point Likert scale. | up to 30 days |
Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D000098968 | Community-Acquired Pneumonia |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
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|
| Length of Stay |
original and subsequent readmissions or emergency department attendance |
| up to 30 days |
| Rate of Mortality | up to 30 days |
| Rate of medication adherence | up to 30 days |
| Progression of Disease | medication requirements, oxygen dependence, spirometric changes | up to 30 days |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D017714 | Community-Acquired Infections |
| D007239 | Infections |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |