Continuous Vital Sign Monitoring Using Wearable Devices to Detect Early Complications After Major Urologic Surgery in Adults Not Requiring Intensive Care

What this Trial Is About

Researchers are evaluating whether continuous monitoring of vital signs using wearable devices can help detect complications earlier in adults recovering from major urologic surgery who do not require intensive care. This observational study focuses on whether these devices can identify early signs of problems like desaturation, abnormal breathing rates, and hemodynamic instability sooner than standard intermittent nurse checks in the surgical ward. The study particularly assesses the Portrait Mobile system by GE Healthcare to monitor heart rate, breathing rate, and blood oxygen. Participants in the wearable monitoring group will have the device applied before surgery to collect baseline vital signs at rest. Monitoring pauses during surgery and resumes upon return to the ward, continuing for at least 72 hours after surgery. Meanwhile, standard intermittent monitoring of blood pressure and EKG will continue per usual ward practice. Another group will receive standard care without the wearable device for comparison. Alarms are set based on vital sign thresholds and changes from baseline, alerting staff to possible complications. Participants provide informed consent before surgery during anesthesiology evaluation. Throughout the postoperative period, vital signs are continuously or intermittently measured, and alerts from the wearable device are reviewed by nursing staff who determine their appropriateness and note patient activity. Clinical actions taken in response to alarms are recorded. The study measures the number of events indicating complications, false positives, physician alerts, intensive care consultations, complications, length of hospital stay, patient satisfaction, and integration with hospital systems. The total participation lasts through the hospital stay, with monitoring primarily during the first 72 hours after surgery.

Real-time Evaluation and Continuous Observation of Vital Signs for Enhanced Recovery: a Study for the Early Identification of Complications in the Surgical Ward Following Surgery in Patients Not Eligible for Intensive Care Admission.