Vital Signs Monitoring in Rehabilitation Center Patients

Study Overview
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Brief Summary
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Some patients unable to return home from hospital due to physical or mental illness will be discharged to a rehabilitation home to restore strength and rehabilitate. This study attempts to examine if it is possible to continuously monitor the vital signs in patients discharged to a rehabilitation center and whether wearable devices will detect more abnormal vital signs than the rehabilitation facility, as well as complication and readmission rates.

Detailed Description
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Patients who are ready to leave the hospital but are deemed unable to return home are discharged to a rehabilitation center to regain strength and performance. Vital signs are only measured when deemed necessary at the rehabilitation center, in contrast to hospital wards, where vital signs are measured intermittently and manually every 8-12 hours. Wearable devices that continuously monitor a patient's vital signs may be able to detect patients who are deteriorating, as abnormal vital signs often precede a physiologic decline This study aims to determine whether it is possible to continuously monitor patients discharged to a rehabilitation center and detect more abnormal vital signs than measurements from the rehabilitation center. By attaching three wearable devices to 20 patients, we wished to record the vital signs for up to 96 hours, documenting abnormal vital signs as well as complications - and readmission rates.

Official Title
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It is Possible to Continuous Monitor Vital Signs in Patients Discharged a Rehabilitation Center - An Observational Feasibility Study

Conditions
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Comorbidities

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: discharged to the rehabilitation center after surgery or; diagnosed with ischemic heart disease, chronic heart disease, apoplexia cerebri, chronic obstructive pulmonary disease, or diabetes. Inclusion less than 72 h from rehabilitation admission Exclusion Criteria: Unable to give informed consent Implanted pacemaker or cardioverter-defibrillator allergic to plaster, plastic, silicone

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 110 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Monitoring time | Monitoring time with data from any device | 96 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SpO2 < 92% | Duration of SpO2 < 92% | 96 hours | 
| SpO2 < 88% | Duration of SpO2 < 88% | 96 hours | 
| SpO2 < 85% | Duration of SpO2 < 85% | 96 hours | 
| SpO2 < 80% | Duration of SpO2 < 80% | 96 hours | 
| Respiratory rate <5 breaths per minute | Duration of respiratory rate <5 breaths per minute | 96 hours | 
| Respiratory rate <11 breaths per minute | Duration of respiratory rate <11 breaths per minute | 96 hours | 
| Respiratory rate >24 breaths per minute | Duration of respiratory rate >24 breaths per minute | 96 hours | 
| Respiratory rate >30 breaths per minute | Duration of respiratory rate >30 breaths per minute | 96 hours | 
| Heart rate <30 beats per minute | Duration of heart rate <30 beats per minute | 96 hours | 
| Heart rate <40 beats per minute | Duration of heart rate <40 beats per minute | 96 hours | 
| Heart rate > 110 beats per minute | Duration of heart rate > 110 beats per minute | 96 hours | 
| Heart rate > 130 beats per minute | Duration of heart rate > 130 beats per minute | 96 hours | 
| Systolic blood pressure <70 mmHg | Number of systolic blood pressure <70 mmHg measurements | 96 hours | 
| Systolic blood pressure <90 mmHg | Number of systolic blood pressure <90 mmHg measurements | 96 hours | 
| Systolic blood pressure >180 mmHg | Number of systolic blood pressure >180 mmHg measurements | 96 hours | 
| Systolic blood pressure >220 mmHg | Number of systolic blood pressure >220 mmHg measurements | 96 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Rehabilitation patients, wireless monitoring, vital signs