Extrait

Background and study aims: To help doctors and nurses recognise when patients are becoming unwell, they are monitored in hospital by an Early Warning System called ‘Track & Trigger’. Each time clinical measurements (for example pulse, blood pressure, temperature and the body’s oxygen levels) are recorded, they are compared to a scale and given a number that represents the position on the scale. If the number is too high, the nurse at the bedside will respond by asking for help from a doctor or more senior nurse. Everyone is compared against the same scale and we do not know if this is the best way to monitor patients during their hospital stay. This study is designed to investigate whether it is possible to create a personalised monitoring programme for patients who are discharged from the Intensive Care Unit. The aim of the study is to link information from a patient’s stay in the intensive care unit with measurements taken during their hospital stay after discharge from intensive care. We will use this information to programme an automatic alerting calculation that will be different for each patient. We want to test whether this new system will improve nurses’ and doctors’ abilities to watch over patients and if it might also alert them earlier to a patient who may be in need of more treatment, a different type of care, or more or less monitoring. Who can participate? Patients who are being discharged from the intensive care units at the Oxford University Hospitals NHS Trust and the Royal Berkshire NHS Foundation Trust. What does the study involve? Before patients leave the intensive care unit, or shortly after they arrival on their new ward, the study monitoring equipment will be attached to them. This involves attaching some sticky dots to their chest which will connect leads from the patient to the monitor so that their heart rate can be recorded. Patients will also be asked to wear a device that will measure the levels of oxygen in their blood. Patients in the study will be visited by research nurses once or twice each day while they are wearing the monitoring equipment. The nurses will check that it is recording correctly and that there are no problems. They will also look at the patient’s medical notes and will record information about them and the treatment they are given during their hospital stay. Patients will be asked to wear the monitor until they are discharged from hospital. However, if they are still in hospital fourteen days after they have been discharged from the intensive care unit, we will remove the monitor. What are the possible benefits and risks of participating? This study may help us in the future to improve the standard of care for patients who are at risk of developing health problems after their stay in the intensive care unit. We hope that the information we collect from patients about their stay in hospital will allow us to treat future patients faster and perhaps save lives. There are no known risks associated with taking part in this trial. Where is the study run from? University of Oxford (UK) When is the study starting and how long is it expected to run for? The study started in October 2012 and is expected to end in September 2014. The first patient will be recruited before the end of 2012. Who is funding the study? Wellcome Trust (UK) Who is the main contact? Ms Julie Darbyshire [email protected]

Critère d'inclusion

• Critical Care

Liens

• isrctn
• ictrp