Automated Early Warning Scoring on Surgical Normal Wards
Detection of Deteriorating Patients on Peripheral Surgical Wards by an Automated Notification System
Detection of Deteriorating Patients on Peripheral Surgical Wards by an Automated Notification System
Sponsor study identifier
observational
3,827
1 country
1
Study Start
January 2015
Actual (reported)Primary Completion
June 2017
Actual (reported)Study Completion
February 2018
Actual (reported)Establishment of early warning systems in hospitals was strongly recommended in recent guidelines to detect deteriorating patients early and direct them to adequate care. Upon meeting of predefined trigger criteria Medical Emergency Teams (MET) should be directed to these patients. The present study analyses the effect of introduction of an automated early warning and trigger system on two peripheral wards hosting a highly complex surgical patient cohort.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
February 2018
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 2015
Actual (reported)June 2017
Actual (reported)February 2018
Actual (reported)February 25, 2018
Actual (reported)March 9, 2018
Actual (reported)In hospital cardiac arrests
Patient cardiac arrests during stay
on average 14 days per patient, cumulative over 12 months in each observed cohort
All patients admitted to the participating surgical wards from 2015-01-01 to 2015-12-31
All patients admitted to the participating surgical wards from 2016-07-01 to 2017-06-30
The emergency notification system is linked to a paging system to the surgeon in charge and to the Hospital Medical Emergency Team. Depending on individual Multiparameter Early Warning Score communication protocols are activated.
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
General surgery, vascular surgery, thoracic surgery,
University Hospital Dresden
Dresden, D-01307, Germany
Pearse RM, Moreno RP, Bauer P, Pelosi P, Metnitz P, Spies C, Vallet B, Vincent JL, Hoeft A, Rhodes A; European Surgical Outcomes Study (EuSOS) group for the Trials groups of the European Society of Intensive Care Medicine and the European Society of Anaesthesiology. Mortality after surgery in Europe: a 7 day cohort study. Lancet. 2012 Sep 22;380(9847):1059-65. doi: 10.1016/S0140-6736(12)61148-9.
Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MG, Smorenburg SM, de Rooij SE, Adams R, de Maaijer PF, Fikkers BG, Tangkau P, de Jonge E; Cost and Outcomes of Medical Emergency Teams Study Group. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015 Dec;43(12):2544-51. doi: 10.1097/CCM.0000000000001272.
Axel R. Heller, MD
University Hospital Dresden, GERMANY
3,827 participants (actual enrollment reported by the registry).
First Submitted
February 25, 2018
First Posted
March 9, 2018
Study Start
January 2015
Actual (reported)Social Norms and Priming to Improve Adherence to Antiretroviral Therapy and Retention in Care
Contact the study team to confirm eligibility.
Muller MP, Richter T, Papkalla N, Poenicke C, Herkner C, Osmers A, Brenner S, Koch T, Schwanebeck U, Heller AR. Effects of a mandatory basic life support training programme on the no-flow fraction during in-hospital cardiac resuscitation: an observational study. Resuscitation. 2014 Jul;85(7):874-8. doi: 10.1016/j.resuscitation.2014.03.046. Epub 2014 Mar 28.
Subbe CP, Duller B, Bellomo R. Effect of an automated notification system for deteriorating ward patients on clinical outcomes. Crit Care. 2017 Mar 14;21(1):52. doi: 10.1186/s13054-017-1635-z.
Primary Completion
June 2017
Actual (reported)Study Completion
February 2018
Actual (reported)Last Updated
March 9, 2018
Record last verified: 2018-03
No individual participant data will be shared
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Source: ClinicalTrials.gov.
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