Hospital at home: home-based monitoring for early discharge following heart attack

Optimal care at the right place: a multi-parameter, non-invasive wearable for home-based monitoring of vital signs to facilitate early relocation of care

Patients with acute myocardial infarction or who underwent cardiac intervention (angioplasty) are in need for close monitoring, which represents a high cost and time-consuming care and typically performed within a hospital environment. In close collaboration between public private partnership, Radboudumc aims to facilitate early discharge from hospital and provide high-quality care within the home-environment for these patients. This will be done through using novel wearable to monitor heart rate and other vital signs (Techmedic), but also through sustainable connected care networks (NAAST, CardioWorks).

Patients with acute myocardial infarction or underwent cardiac surgery are in need for close monitoring, including heartrate and blood pressure, both at the coronary care unit (CCU) and hospital wards. This type of care is high in cost and time-consuming. Recent developments in wearables have resulted in a multi-parameter physiological monitor to continuously register these signs, which allow for 24/7 central monitoring and digital communication with healthcare professionals. These developments may relocate CCU-/hospital-based healthcare towards a home-based environment.

First, they will evaluate the usability and validity of the multi-parameter monitor within an ICU/CCU-environment compared with current procedures. For this purpose, they will examine 100 low-risk patients with myocardial infarction with ST-elevation (STEMI) following percutaneous intervention (PCI), and compare the multi-parameter physiological monitor versus regular care. Secondly, they will examine the accuracy of the multi-parameter monitor to acutely detect abnormalities of vital signs within a mock-situation and develop sustainable connected care networks for home-based monitoring. Finally, they aim to evaluate the implementation of the multi-parameter physiological monitor for continuous monitoring of STEMI patients following PCI within the ‘Radboudumc-hotel’ compared to current care.

This project aims to have the following impact:

usability of relocation of high-quality care <24-hours of admission.
prevention of re-admissions/re-hospitalisation.
reduction of healthcare costs.
improvement in quality of care, translating to better patient satisfaction.
reduced healthcare professional workload.
improved efficiency/productivity of healthcare professionals.

Home-based care

Summary

Patients with acute myocardial infarction or who underwent cardiac intervention (angioplasty) are in need for close monitoring, which represents a high cost and time-consuming care. Through using novel wearable to monitor heart rate and other vital signs, but also through sustainable connected care networks, this project aims to facilitate early transfer from hospital and provide high-quality care within the home-environment.

Technology Readiness Level (TRL)

5 - 7

Time period

36 months

Partners