N/A
Completed N=20,031
Early Warning System for Clinical Deterioration on General Hospital Wards
Escalation of Care · Cardiopulmonary Arrest · Respiratory Arrest · Severe Sepsis
Source: ClinicalTrials.gov NCT01280942 ↗
Enrolled (actual)
20,031
Serious AEs
0.0%
Results posted
Feb 2018
Primary outcomePrimary: Transfer to ICU or Unexpected Death Within 24 Hrs of Identification by the EWS Algorithm — 426; 444 participants
Summary
The goal is to develop a two-tiered monitoring system to improve the care of patients at risk for clinical deterioration on general hospital wards (GHWs) at Barnes-Jewish Hospital (BJH). The investigators hypothesize that the use of an automated early warning system (EWS) that identifies patients at risk of clinical deterioration, with notification of nurses on the GHWs when patients are identified, will reduce the risk of ICU transfer or death within 24 hrs of an alert. As a substudy, the investigators will pilot the use of a wireless pulse oximeter to establish feasibility and to develop algorithms for a real-time event detection system (RDS) in these high-risk patients.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Transfer to ICU or Unexpected Death Within 24 Hrs of Identification by the EWS Algorithm |
426; 444 | — |
| SECONDARY Clinical Outcomes and Process Measures |
6.92; 7.07 | — |
Eligibility Criteria
Inclusion Criteria
- All patients age 18 and above, hospitalized in GHWs at Barnes Jewish Hospital.
Exclusion Criteria
- Minors, patients younger than 18 years old.
Data sourced from ClinicalTrials.gov (NCT01280942). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.