PDF(Pubmed)
Abstract：
The aim of this study was to describe the implementation of a novel 50-bed continuous remote monitoring service for high-risk acute inpatients treated in non-critical wards, known as Health in a Virtual Environment (HIVE). We report the initial results, presenting the number and type of patients connected to the service, and assess key outcomes from this cohort. This was a prospective, observational study of characteristics and outcomes of patients connected to the HIVE continuous monitoring service at a major tertiary hospital and a smaller public hospital in Western Australia between January 2021 and June 2023. In the first two and a half years following implementation, 7541 patients were connected to HIVE for a total of 331,118 h. Overall, these patients had a median length of stay of 5 days (IQR 2, 10), 11.0% (n = 833) had an intensive care unit admission, 22.4% (n = 1691) had an all-cause emergency readmission within 28 days from hospital discharge, and 2.2% (n = 167) died in hospital. Conclusions: Our initial results show promise, demonstrating that this innovative approach to inpatient care can be successfully implemented to monitor high-risk patients in medical and surgical wards. Future studies will investigate the effectiveness of the program by comparing patients receiving HIVE supported care to comparable patients receiving routine care.
摘要：
这项研究的目的是描述一种新型的50床连续远程监控服务的实施，该服务适用于在非危重病房接受治疗的高风险急性住院患者，称为虚拟环境中的健康（HIVE）。我们报告初步结果，提供与服务相关的患者数量和类型，并评估该队列的关键结果。这是一个潜在的，2021年1月至2023年6月,在西澳大利亚州一家主要三级医院和一家规模较小的公立医院,对与HIVE持续监测服务相关的患者的特征和结局进行了观察性研究.在实施后的头两年半，7541例患者连接到HIVE，总共331,118小时。这些患者的中位住院时间为5天(IQR2，10)，11.0%(n=833)有重症监护病房入院，22.4％（n=1691）在出院后28天内全因急诊再入院，2.2%(n=167)在医院死亡。结论：我们的初步结果显示了希望，证明这种创新的住院护理方法可以成功实施，以监测内科和外科病房中的高风险患者。未来的研究将通过比较接受HIVE支持护理的患者与接受常规护理的可比患者来调查该计划的有效性。
