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ORIGINAL RESEARCH article

Front. Med. Technol.
Sec. Diagnostic and Therapeutic Devices
Volume 6 - 2024 | doi: 10.3389/fmedt.2024.1436034

Early Detection of Deteriorating Patients in General Wards through Continuous Contactless Vital Signs Monitoring

Provisionally accepted
Ambuj Yadav Ambuj Yadav 1Himanshu Dandu Himanshu Dandu 1Gaurav Parchani Gaurav Parchani 2Kumar Chokalingam Kumar Chokalingam 2*Pooja Kadambi Pooja Kadambi 2Rajesh Mishra Rajesh Mishra 2Ahsina Jahan Ahsina Jahan 2Jean Louis Teboul Jean Louis Teboul 3Jos M. Latour Jos M. Latour 4
  • 1 King George's Medical University, Lucknow, Uttar Pradesh, India
  • 2 Turtle Shell Technologies Private Limited, Bengaluru, India
  • 3 Faculté de Médecine, Université Paris-Saclay, Le Kremlin-Bicêtre, France
  • 4 Faculty of Health and Human Sciences, University of Plymouth, Plymouth, United Kingdom

The final, formatted version of the article will be published soon.

    Objective: To assess the efficacy of continuous contactless vital signs monitoring with an automated Early Warning System (EWS) in detecting clinical deterioration among patients in general wards.Methods: Aprospective observational cohort study was conducted in the medical unit of a tertiary care hospital in India, involving 706 patients over 84,448 monitoring hours. The study used a contactless ballistocardiography system (Dozee System) to continuously monitor heart rate, respiratory rate, and blood pressure. The study assessed total, mean, and median alerts at 24, 48, 72, 96, 120 hours, and length of stay (LOS) before patient deterioration or discharge. It analyzed alert sensitivity and specificity, average time from initial alert to deterioration, and healthcare practitioners (HCP) activity. Study was registered with the Clinical Trials Registry-India CTRI/2022/10/046404.Results: Out of 706 patients, 33 (5%) experienced clinical deterioration, while 673 (95%) did not. The deterioration group consistently had a higher number of alerts compared to those who were discharged normally, across all time-points. On average, the time between the initial alert and clinical deterioration was 16 hours within the last 24 hours preceding the event. The sensitivity of the Dozee-EWS varied between 67% and 94%. Healthcare practitioners (HCP) spend 10% of their time on vital signs check and documentation.This study suggests that utilizing contactless continuous vital signs monitoring with Dozee-EWS in general ward holds promise for enhancing the early detection of clinical deterioration. Further research is essential to evaluate the effectiveness across a wider range of clinical settings.

    Keywords: Early warning system (EWS), Remote, Contactless, continuous, Monitoring, General ward, Ballistocardiography

    Received: 21 May 2024; Accepted: 12 Aug 2024.

    Copyright: © 2024 Yadav, Dandu, Parchani, Chokalingam, Kadambi, Mishra, Jahan, Louis Teboul and Latour. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Kumar Chokalingam, Turtle Shell Technologies Private Limited, Bengaluru, India

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.