Newborn Morbidity Clinical Trial
Official title:
Evaluating the Clinical Impact and Cost-effectiveness of a Wireless Vital Sign Monitor for Hospitalized Newborns in Kenya
The goal of this study is to measure the clinical impact and cost-effectiveness of a wireless vital signs monitor, neoGuard, for hospitalized newborns at a tertiary healthcare facility in Kenya. The main questions it aims to answer are: 1. Does the neoGuard vital signs monitor detect meaningful vital sign changes in hospitalized newborns? 2. Does the neoGuard vital signs monitor generate valid signals to trigger a timely response from nurses? 3. Is the neoGuard vital signs monitor associated with improved patient outcomes and lower mortality? 4. What is the cost-effectiveness of the neoGuard vital signs monitor in comparison to the standard-of-care monitoring system? Participants will be enrolled within the first 24 hours of admission and monitored for a period of 7 consecutive days or until they are discharged (whichever comes sooner). The study will consist of an intervention group and a comparison group. Researchers will compare nurses' response time to patients in distress, newborn complication rates and treatment outcomes between the two groups.
Status | Recruiting |
Enrollment | 3000 |
Est. completion date | November 30, 2023 |
Est. primary completion date | June 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 0 Days to 28 Days |
Eligibility | Inclusion Criteria: - Must be admitted to one of the subunits assigned to receive the intervention (i.e., APU category A or B, the HDU-1 or HDU-2) - The newborn's parent/guardian must provide informed consent to use the neoGuard system on their newborn. Exclusion Criteria: - Assessed to have congenital anomalies that are incompatible with life - Receiving palliative care - Patients undergoing phototherapy - Those with open head injuries/lacerations - Those receiving treatment that might interfere with application of the neoGuard device |
Country | Name | City | State |
---|---|---|---|
Kenya | Moi Teaching and Referral Hospital | Eldoret |
Lead Sponsor | Collaborator |
---|---|
Assumpta Solome Nantume | Academic Model Providing Access to Healthcare (AMPATH), DLR German Aerospace Center |
Kenya,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Qualitative feedback from health providers | Nurses will be surveyed about their experience and perceptions of the technology | Once, at study completion | |
Primary | Nurse's response time to patients in distress | The time elapsed (in seconds) between the neoGuard alarm being triggered (distress signal) and the nurse attending to the patient | Captured in real time through monitor logs, within a few seconds to minutes of the event | |
Primary | Percentage of actionable alarms | The overall proportion of alarms that are indicative of a true physiological change (distress signal) resulting in an intervention or treatment of the patient | Measured over a maximum period of 7 days for each patient | |
Secondary | Incidence of patient complications | Bi-weekly change in the incidence of patient complications | Through study completion, across 64 weeks | |
Secondary | In-hospital mortality | Month-to-month change in the incidence of in-hospital mortality | Through study completion, across 16 months | |
Secondary | Frequency of key interventions | Month-to-month change in the frequency of key interventions administered (i.e., cPAP, supplemental oxygen, mechanical ventilation, antibiotic therapy) | Through study completion, across 16 months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
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