Continuous Versus Intermittent Vital Signs Monitoring Using a Wearable, Wireless Patch in Patients Admitted to Surgical Wards: Pilot Cluster Randomized Controlled Trial.

摘要: : Vital signs monitoring is a universal tool for the detection of postoperative complications; however, unwell patients can be missed between traditional observation rounds. New remote technologies promise to convey benefits continuous in general wards. : The aim this pilot study was evaluate whether vital practical and acceptable way surgical optimize delivery definitive trial. : We performed prospective, cluster-randomized, parallel-group, unblinded, controlled study. Patients admitted 2 wards at large tertiary hospital received either intermittent or alone using an early warning score system. Continuous provided by wireless patch, worn on patient’s chest, with data transmitted wirelessly every minutes central station mobile device carried nurse. primary outcome measure time administration antibiotics sepsis. secondary measures included length stay, 30-day readmission rate, mortality, patient acceptability. : Overall, 226 were randomized January June 2017. Of patients, 140 86 alone. On average, receiving administered faster after evidence sepsis (626 minutes, n=22, 95% CI 431.7-820.3 vs 1012.8 n=12, 425.0-1600.6 minutes), had shorter average stay (13.3 days, 11.3-15.3 days 14.6 11.5-17.7 days), less likely require within 30 discharge (11.4%, 6.16-16.7 20.9%, 12.3-29.5). Wide CIs suggest these differences are not statistically significant. found terms comfort perceived enhanced sense safety, despite 24% discontinuing intervention early. : Remote patients. Large, well-controlled studies high-risk populations required determine observed trends translate into significant benefit over monitoring. : International Standard Randomised Controlled Trial Number ISRCTN60999823; http://www.isrctn.com /ISRCTN60999823 (Archived WebCite http://www.webcitation.org/73ikP6OQz)