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TRaCINg Study

  • Research type

    Research Study

  • Full title

    Trial of Remote Continuous vs Intermittent Vital Signs Monitoring after Major Surgery

  • IRAS ID

    224765

  • Contact name

    Candice Downey

  • Contact email

    c.l.downey@leeds.ac.uk

  • Sponsor organisation

    University of Leeds

  • Duration of Study in the UK

    0 years, 11 months, 27 days

  • Research summary

    Background

    Patients having major surgery are at high risk of complications. Identifying complications early makes them easier to treat and improves the results for the patient.

    One of the ways patients are monitored for complications is by charting their vital signs: blood pressure, pulse, breathing rate and temperature. A nurse will usually check these signs every four hours in the first few days after surgery. The vital signs form a score, the National Early Warning Score (NEWS), which can detect if the patient becomes unwell. One of the problems with NEWS is that patients can deteriorate in the intervals between monitoring, which can delay vital treatment.

    One solution to this problem is continuous monitoring. A wireless patch is worn on the patient’s chest to monitor heart rate, breathing rate and temperature continuously. This could help detect unwell patients earlier.

    Aims

    In order to test this theory, a study will be done comparing a continuous monitoring system with NEWS monitoring. The research methods will be tested in a small study first, called a feasibility study. The main aim is to provide information about how best to undertake a larger study to fully test the new monitoring system.

    Participants

    All patients admitted to two participating wards following elective major surgery will be invited to take part.

    Methods

    Patients who consent will be divided at random to receive standard NEWS monitoring or both the continuous monitoring and NEWS for the duration of their hospital stay.

    Information will be collected about the patients’ stay and how patients and nurses feel about the new system. Information will be collected regarding the number of patients who consent, those who do not and their reasons.

    Distribution of results

    The results will be communicated through journal articles, press releases and presentations to charities, hospitals and the media.

  • REC name

    Yorkshire & The Humber - Leeds West Research Ethics Committee

  • REC reference

    17/YH/0180

  • Date of REC Opinion

    28 Jul 2017

  • REC opinion

    Further Information Favourable Opinion