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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04373161
Other study ID # 2020032301
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date March 20, 2020
Est. completion date April 22, 2020

Study information

Verified date May 2020
Source Swedish Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to investigate the use of home pulse oximetry monitoring in patients with COVID-19 to trend disease progression and identify need for hospitalization.


Description:

This protocol studies patients with suspected non-severe Corona Virus Disease (COVID-19) being discharged to home from an emergency department (ED) or outpatient testing center. Patients will be provided a portable fingertip home pulse oximeter that measures peripheral oxygen saturation (SpO2). Patients will be instructed to check their resting home oxygen saturation three times per day and record these findings. They will be instructed to return to the emergency room for sustained oxygen saturation below 92% or if their symptoms are worsening and they feel they need medical attention. Patients will be called once daily by the research team to collect data in real time. Patients will be monitored for seven days, and at the end of the seven day period, they will return the pulse oximeter as well as a spreadsheet of their home oximetry readings. The purpose is to see if home pulse oximetry identifies disease progression and need for hospitalization in patients with COVID-19. Additionally, there will be analysis of trends in home oximetry readings wand predictors of morbidity and mortality.


Recruitment information / eligibility

Status Completed
Enrollment 209
Est. completion date April 22, 2020
Est. primary completion date April 22, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Patients with suspected COVID-19 as defined by the World Health Organization

- Age > 18

Exclusion Criteria:

- Pregnancy

- Prisoners

- Lack of decision making capacity or cannot provide consent

- Patients being admitted to the hospital

- Patients on home oxygen

- Patients being discharged to a skilled nursing facility

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Home Pulse Oximetry Monitoring
Patients to check their home oxygen saturation three times daily and return to the ED for sustain oxygen <92% or for worsening symptoms.

Locations

Country Name City State
United States Swedish Hospital Chicago Illinois

Sponsors (1)

Lead Sponsor Collaborator
Swedish Hospital

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Hospitalization in COVID-19 patients with low home SpO2 The primary outcome is the relative risk of hospitalization in COVID-19 patients with resting home pulse oximeter SpO2 below 92%. 7 days after enrollment
Secondary Trend in resting home pulse oximetry readings The purpose of this outcome is to determine if home pulse oximetry readings abruptly drop, gradually decline, or stay level in patients with COVID-19 7 days after enrollment
Secondary Timing of SpO2 <92% This will evaluate if there is a correlation between the time of day with SpO2 readings below 92 percent in patients with suspected COVID-19. 7 days after enrollment
Secondary Home pulse oximeter use effect on subsequent ED visits The goal of this outcome is to see if patients enrolled in the study are reassured by use of home pulse oximeter monitoring and if this device prevents subsequent ED visits by patients 7 days after enrollment
Secondary Reason for return to the Emergency Department To see if patients who return to the ED and end up hospitalized did so for incidental finding of low home pulse oximetry or if it was for worsening symptoms 7 days after enrollment
Secondary Hospitalization outcome - morbidity The study will assess development of morbidity defined as intensive care unit admission, acute respiratory distress syndrome, and/or septic shock in patients with SpO2 <92% Up to 21 days after enrollment
Secondary Hospitalization outcome - mortality The study will assess mortality defined as death after admission to the hospital in patients with SpO2 <92% Up to 21 days after enrollment
Secondary Median Length of Stay The study will measure median length of stay in patients with COVID-19 that are hospitalized on subsequent return to the ED. Up to 21 days after enrollment
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