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Implementation of wearable sensors and digital alerting systems in secondary care: protocol for a real-world prospective study evaluating clinical outcomes

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Title: Implementation of wearable sensors and digital alerting systems in secondary care: protocol for a real-world prospective study evaluating clinical outcomes
Authors: Iqbal, F
Joshi, M
Khan, S
Ashrafian, H
Darzi, A
Item Type: Journal Article
Abstract: ackground: Advancements in wearable sensors have caused a resurgence in their use, particularly because their miniaturization offers ambulatory advantages while performing continuous vital sign monitoring. Digital alerts can be generated following early recognition of clinical deterioration through breaches of set parameter thresholds, permitting earlier intervention. However, a systematic real-world evaluation of these alerting systems has yet to be conducted, and their efficacy remains unknown. Objective: The aim of this study is to implement wearable sensors and digital alerting systems in acute general wards to evaluate the resultant clinical outcomes. Methods: Participants on acute general wards will be screened and recruited into a trial with a pre-post implementation design. In the preimplementation phase, the SensiumVitals monitoring system, which continuously measures temperature, heart, and respiratory rates, will be used for monitoring alongside usual care. In the postimplementation phase, alerts will be generated from the SensiumVitals system when pre-established thresholds for vital parameters have been crossed, requiring acknowledgement from health care staff; subsequent clinical outcomes will be analyzed. Results: Enrolment is currently underway, having started in September 2017, and is anticipated to end shortly. Data analysis is expected to be completed in 2021. Conclusions: This study will offer insight into the implementation of digital health technologies within a health care trust and aims to describe the effectiveness of wearable sensors for ambulatory continuous monitoring and digital alerts on clinical outcomes in acute general ward settings. Trial Registration: ClinicalTrials.gov NCT04638738; https://clinicaltrials.gov/ct2/show/NCT04638738. International Registered Report Identifier (IRRID): DERR1-10.2196/26240
Issue Date: 1-May-2021
Date of Acceptance: 13-Apr-2021
URI: http://hdl.handle.net/10044/1/89559
DOI: 10.2196/26240
ISSN: 1929-0748
Publisher: JMIR Publications
Journal / Book Title: JMIR Research Protocols
Volume: 10
Issue: 5
Copyright Statement: ¬©Fahad Mujtaba Iqbal, Meera Joshi, Sadia Khan, Hutan Ashrafian, Ara Darzi. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.05.2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.
Keywords: ambulatory
clinical trial
monitoring
patient deterioration
remote sensing technology
wearable
1103 Clinical Sciences
1117 Public Health and Health Services
Publication Status: Published
Article Number: ARTN e26240
Appears in Collections:Department of Surgery and Cancer
Institute of Global Health Innovation



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