Remote patient monitoring for preoperative risk assessment
Research type
Research Study
Full title
REMOTES Study REmote Monitoring for preOperaTive risk assEssment for major abdominal Surgery
IRAS ID
307403
Contact name
David Jayne
Contact email
Sponsor organisation
The Secretariat, The University of Leeds
Clinicaltrials.gov Identifier
Duration of Study in the UK
1 years, 11 months, 25 days
Research summary
Preoperative risk assessment (an evaluation of overall health before surgery) is important to determine the overall risk of mortality and complications for patients undergoing major abdominal surgery, to allow appropriate allocation of sparse hospital resources. The current gold standard for preoperative assessment is cardiopulmonary exercise testing (CPET). CPET is however not available in all centres that perform major surgery, is a costly test and therefore only high-risk patients are tested. Finding new ways of conducting preoperative assessment could improve overall surgical safety, patient experience and reduce cost.
The use of remote vital signs monitoring preoperatively can provide important information about the patients' fitness and overall health and may possibly be used for preoperative assessment. This study will use a remote monitoring patch to monitor patients' vital signs before surgery. The study will evaluate the utility and patient acceptability of the remote monitoring system and the feasibility of a randomised controlled trial of this type of assessment. Additionally the study will assess the correlation between the data captured by the remote monitoring system and the CPET results, in order to evaluate the remote monitoring systems ability to predict risk of surgery.
The study will take place in Leeds Teaching hospitals. Adult patients undergoing major abdominal surgery that require CPET before surgery are eligible. Participants will be monitored at home with the patch monitor for 3-5 days before surgery, in addition to their planned preoperative assessment. During remote monitoring patients will be asked to fill out questionnaires on their general health and their experience of using the patch through the mobile phone that is used as a part of the monitoring system. Clinical data from the hospital electronic records and general practitioner records available on the trust system will then be collected at 30 days after surgery to assess complications and to calculate risk scores.REC name
South East Scotland REC 02
REC reference
22/SS/0050
Date of REC Opinion
30 Aug 2022
REC opinion
Further Information Favourable Opinion