Failure to Rescue Deteriorating Patients: A Systematic Review of Root Causes and Improvement Strategies.
Joshua R Burke, Candice Downey, Alex M Almoudaris
https://pubmed.ncbi.nlm.nih.gov/32453105Actively Recruiting
Led by University of Edinburgh · Updated on 2026-02-10
1332
Participants Needed
17
Research Sites
N/A
Total Duration
U
University of Edinburgh
Lead Sponsor
U
University of Birmingham
Collaborating Sponsor
This research aims to find out if wearable sensors can help detect early signs of health problems after major surgery. The study focuses on surgical patients who might become critically ill after their operations. It evaluates if continuous monitoring of vital signs like heart rate and oxygen levels using wearable devices can identify patient deterioration sooner than standard care. The study is observational and involves multiple countries including Benin, Ghana, Guatemala, India, Mexico, Nigeria, Rwanda, and the United Kingdom. Participants will wear wireless sensors on their chest and fingers before, during, and after surgery for up to 10 days. These sensors record vital signs continuously but do not affect patient care, as clinical teams will not access the data during the study. The first two stages of the study involved testing device usability with healthcare workers, while this third stage collects real-time sensor and clinical event data to explore links between physiological changes and patient complications. During the study, participants will have their vital signs monitored with wearable devices while also receiving standard clinical observations. Researchers will collect cardiovascular, respiratory, and temperature data alongside routine care information and clinical events. They will follow patients for 10 days of monitoring plus an additional 30-day follow-up to observe complications. The goal is to gather data to help design future algorithms for early detection of postoperative problems without changing current treatment practices.
CONDITIONS
EMUs: Enhanced Monitoring Using Sensors After Surgery
You may qualify if you...
You will not qualify if you...
Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 10 days from device application
Participants wear a wireless sensor device before, during, and after their surgery while receiving standard care. Sensor data is collected continuously but not used to make clinical decisions.
Continuous monitoring during hospital stay for up to 10 days
Duration - 30 days after sensor monitoring ends
Participants are followed up for 30 days after sensor monitoring to assess clinical outcomes and complications.
1 follow-up visit
Total: 17 locations
1
Hopital de Zone Atlantique Ouidah
Ouidah, Atlantique Department, Benin
Actively Recruiting
2
Centre Hospitalier Universitaire Departemental Borgou-Alibori
Parakou, Borgou Department, Benin
Actively Recruiting
3
Centre Hospitalier Universitaire Mere Enfant Lagune
Cotonou, Littoral Department, Benin
Actively Recruiting
4
Centre Hospitalier Universitaire et Departemental Oueme Plateau
Porto-Novo, Oeume, Benin
Actively Recruiting
5
Berekum Holy Family Hospital
Berekum, Berekum East, Ghana
Actively Recruiting
6
Techiman Holy Family Hospital
Techiman, Bono East, Ghana
Actively Recruiting
7
Tamale Teaching Hospital
Tamale, Ghana
Actively Recruiting
8
Hospital General San Juan de Dios
Guatemala City, Guatemala
Actively Recruiting
9
Lady Willingdon Hospital
Manali, Himachal Pradesh, India
Actively Recruiting
10
Padhar Hospital
Pādhar, Madhya Pradesh, India
Actively Recruiting
11
Christian Medical College and Hospital
Ludhiana, Punjab, India
Actively Recruiting
12
Hospital Español de Veracruz
Veracruz, Mexico
Actively Recruiting
13
Obafemi Awolowo University Teaching Hospital Complex
Ife, Nigeria
Not Yet Recruiting
14
Lagos State University Teaching Hospital
Ikeja, Nigeria
Not Yet Recruiting
15
Lagos University Teaching Hospital
Lagos, Nigeria
Actively Recruiting
16
University Teaching Hospital of Rwanda
Kigali, Rwanda
Not Yet Recruiting
17
Royal Infirmary of Edinburgh
Edinburgh, United Kingdom, EH16 4SA
Active, Not Recruiting
E
Ewen Harrison
E
Eilidh Gunn
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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