The Intensive Care (IC) department of leading clinical hospital VieCuri Medical Center has initiated a "Smart patch" project. This "smart patch" can measure the heart rate, respiratory rate and axillar temperature of a patient remotely. With this, the intensivists of VieCuri want to investigate whether clinical deterioration of the patient can be detected via the smart patch and thus lead to intervention more quickly.
After admission, the patch is attached to the patient's chest via standard ECG electrodes and remains in place for up to five days. The patient is unaffected by this, is mobile and can even shower with it. Meanwhile, the patch measures heart rate, respiratory rate and axillar (armpit) temperature every two minutes; important indicators for the patient's health status. As soon as abnormal measurements are observed through the patch, the caregiver receives an alarm on a smartphone.
The patch offers many advantages. Because patient deterioration is quickly detected, it is possible to act faster. This increases the chance of better health outcomes. This includes the prevention of possible negative effects of, for example, CPR on health or the consequences of late intervention. The patch can also allow for early detection of sepsis and contribute to a sense of safety for a specific patient category (for example, patients who are discharged after a long stay in a supervised ward). So a win-win situation for VieCuri; the patient is comfortable, has a better chance of better health outcomes and the caregiver is better able to offer the right care at the right time.
VieCuri has chosen the SensiumVitals product from SENSIUM because of the parameters that the patches measure, the measuring frequency and the use of standard ECG electrodes. In addition, the unique measurement of respiratory frequency, as well as the method of data transport via radio frequency, the possibility to subsequently route this via the fixed internet connection and the long shelf life of the patches. Finally, the supplier's vision of the broad deployment of the patch was the deciding factor in choosing this product. To ensure that the smart plasters function optimally, a link has been made with the electronic patient file (HiX from ChipSoft).
The project starts with a validation phase in the IC (October 2019). In addition to the experiences of caregivers and patients, a quantitative side is also considered: the measurements of the smart patch are compared with those of regular monitoring. A six-month pilot phase will then commence at the Acute Admission Department (AOA). In all likelihood, the patch will then be used as part of the Emergency Intervention Team (SIT) in regular nursing wards. Given the innovative nature of the project and wanting to make the added value of the smart plaster measurable, scientific research is linked to this project.
The full dutch article (p18-19) can be found here.