RecruitingNot ApplicableNCT06936891

Virtual Ward for Early Discharge in Patients Receiving Inpatient Care

Virtual Ward for Early Discharge in Patients Receiving Inpatient Care: A Prospective Feasibility Study on Home Monitoring for the Early Discharge of Eligible Hospitalized Patients in an Outpatient Setting


Sponsor

Erasmus Medical Center

Enrollment

306 participants

Start Date

Apr 16, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study evaluates the feasibility of providing hospital-level care at home for eligible patients through a Virtual Ward. Patients are discharged early from the hospital and monitored remotely using digital vital sign monitoring and anamnesis questionnaires. The primary aim is to determine if at least 30% of eligible patients can be safely and successfully transferred to the Virtual Ward under current Dutch healthcare conditions.


Eligibility

Min Age: 18 Years

Inclusion Criteria7

  • Adult patients (≥18 years old).
  • Currently hospitalized and eligible for early discharge according to clinical judgment.
  • Ability to provide written informed consent.
  • Access to a smartphone or tablet with internet connection.
  • Patient is capable of using the Digizorg app or has support from a caregiver who can assist.
  • Suitable home situation for Virtual Ward care (e.g., safe environment, necessary utilities available).
  • Enrollment in one of the predefined Virtual Ward care pathways

Exclusion Criteria7

  • Patients requiring continuous hospital-based monitoring or interventions that cannot be safely delivered at home.
  • Patients who are hemodynamically unstable or require oxygen therapy \>5 liters/minute at the time of discharge.
  • Patients unable or unwilling to comply with home monitoring procedures.
  • Patients with significant cognitive impairment without adequate caregiver support.
  • Patients with a life expectancy less than 30 days, as assessed by the treating physician.
  • Patients participating in another interventional clinical trial that could interfere with the Virtual Ward protocol.
  • Any other condition that, in the opinion of the treating physician, would make participation unsafe or infeasible.

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Interventions

COMBINATION_PRODUCTVirtual Ward

Hospital-level care at home using remote vital sign monitoring, digital anamnesis via the Digizorg app, and integration with the Electronic Medical Record (HiX), managed by Virtual Ward staff following predefined care pathways.


Locations(1)

Erasmus Medical Center

Rotterdam, Netherlands

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NCT06936891


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