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New ProWireless Assessment of Respiratory and circulatory Distress (WARD). A clinical trial in Danish hospitals using remote monitoring and AI (Artificial Intelligence)
Denmark (IMCC) - Copenhagen University, Copenhagen
Department of Anaesthesia and Intensive Care, Bispebjerg Hospital, University of Copenhagen, Denmark - Bispebjerg Bakke 23, DK-2400 Copenhagen, Denmark
Christian S. Meyhoff
Christian S. Meyhoff as well as PhD-students, post docs and other mentors in the WARD-Project Group.
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Deterioration of patients on general hospital wards often goes unnoticed for prolonged periods of time. This delay can potentially result in severe adverse outcomes such as cardiopulmonary arrest and need for admission to the intensive care unit (ICU). These complications occur even though in most cases, measurable changes in physiological vital signs, could identify patients at risk. The research team partners have over the last years developed the WARD (Wireless Assessment of Respiratory and circulatory Distress) Project, using wireless continuous monitoring of vital signs and artificial intelligence algorithms for data interpretation in high- risk patients admitted to medical and surgical wards.
What is the aim of the project?
The primary aim of the WARD-Project is to test the effect of continuous wireless vital signs monitoring in a randomized clinical trial where we use generation of real-time alerts to clinical staff as compared to blinded monitoring without alerts on the duration of severely deviating vital signs.
What techniques and methods are used?
Randomized clinical trial: Patient identification (high-risk patients at hospital wards), inclusion, randomization, application of wireless sensors, daily assessment of sensor function and clinical well-being of included patients (outcomes), data entry in project database. All tasks performed in collaboration with the project group of approximately 10 clinical employees.
What is the role of the student?
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
The student will be part of a large research group of doctors, project nurses, project leader, PhDs, post docs and Danish medical students. All collaborate on inclusion, daily supervision, follow-up and data entry for patients enrolled in the WARD-Project. The student will (pending the level of clinical expertise) be part of this process. This can be to perform daily supervision of functionality of the used sensors in includes, which involves assessments of high-risk patients at medical and surgical wards and ensure that each sensor works as intended. Follow-up of severe adverse events and data entry are other relevant tasks.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Preliminary reading of WARD-Project publications and protocols.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster - The student will prepare a presentation - The student will prepare an abstract - The student’s name will be mentioned in a future publication
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Ambition, collaboration in cross-disciplinary team, knowledge about critical complications, interest in medical monitoring.
Are there any legal limitations in the student’s involvement
Must sign non-disclosure agreement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months)
- Elvekjaer M; Aasvang EK; Olsen RM; Sørensen HBD; Porsbjerg CM; Jensen JU; Haahr- Raunkjær C; Meyhoff CS; WARD-Project Group. Physiological abnormalities in patients admitted with acute exacerbation of COPD: an observational study with continuous monitoring. J Clin Monit Comput. 2019 Nov 11. doi: 10.1007/s10877-019- 00415-8. [Epub ahead of print]
- Duus CL; Aasvang EK; Olsen RM; Sørensen HBD; Jorgensen LN; Achiam MP; Meyhoff CS. Continuous Vital Sign Monitoring after Major Abdominal Surgery – Quantification of Micro Events. Acta Anaesthesiol Scand. 2018; 62(9):1200-1208.
- Haahr-Raunkjær C; Meyhoff CS; Sørensen HBD; Olsen RM; Aasvang EK. Technological aided assessment of the acutely ill patient - The case of postoperative complications. Eur J Intern Med. 2017;45:41-45.
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