Accepted for/Published in: JMIR Research Protocols
Date Submitted: Dec 3, 2020
Date Accepted: Apr 13, 2021
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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
ABSTRACT
Background:
Advancements in wearable sensors have caused a resurgence in their use, particularly as their miniaturisation offers ambulatory advantage whilst performing continuous vital sign monitoring. Digital alerts can be generated following early recognition of clinical deterioration through set parameter thresholds being breached, permitting earlier intervention. However, systematic real-world evaluation of alerting systems has yet been to be conducted and its efficacy remains unknown.
Objective:
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 pre-post implementation designed trial. In the pre-implementation phase, SensiumVitals™ monitoring system which measures temperature, heart & respiratory rates continuously will be used for monitoring alongside usual care. In the post-implementation phase, alerts will be generated from the SensiumVitals™ system when pre-established thresholds for vital parameters have been crossed, requiring acknowledgement from healthcare staff; subsequent clinical outcomes will be analysed.
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 implementation of digital health technologies within a healthcare trust and hopes to describe the effectiveness of wearable sensors for ambulatory continuous monitoring and digital alerts on clinical outcomes in acute general ward settings. Clinical Trial: ClinicalTrials.gov Identifier: NCT04638738
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