- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05501314
Remote Home Monitoring Acute Pancreatitis (REMAP)
August 11, 2022 updated by: Rijnstate Hospital
Remote Home Monitoring of Patients With a Predicted Mild Acute Pancreatitis - A Feasibility Study (REMAP)
Acute pancreatitis is an inflammation of the pancreas which causes abdominal pain and is the most common gastro-intestinal reason for acute hospitalization in Western countries.
Because care for a mild acute pancreatitis is supportive, early discharge of patients with a predicted mild course of acute pancreatitis might be safe with the use of remote home monitoring.
This might reduce the demand for hospital beds and allow patients to benefit from recovering in their home environment.
Therefore, the aim of this study is to assess the feasibility of a novel care pathway in which patients with a predicted mild course of acute pancreatitis are discharged early with remote home monitoring.
Study Overview
Status
Not yet recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
70
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: C.M.J. Doggen, prof. dr.
- Phone Number: +31880056042
- Email: REMAPstudy@rijnstate.nl
Study Locations
-
-
Gelderland
-
Arnhem, Gelderland, Netherlands, 6815 AD
- Rijnstate Hospital
-
Contact:
- C.M.J. Doggen, prof. dr.
- Phone Number: +31880056042
-
Sub-Investigator:
- N. Kant, drs.
-
Sub-Investigator:
- B.W.M. Spanier, dr.
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
Have 2 out of 3 revised Atlanta criteria for pancreatitis:
- Abdominal pain consistent with acute pancreatitis
- Serum lipase ≥ 3x upper limit normal (> 159 U/l)
- Typical pancreatic abnormalities on imaging (ultrasound, CT or MRI)
- First episode of acute pancreatitis or a prior pancreatitis more than 3 months ago.
- Age ≥18 years, both men and women.
- Able and willing to provide written informed consent.
- In possession of a working (smart)phone on which patient can be reached for the duration of participation (30 days).
Exclusion Criteria:
- Chronic pancreatitis according to M-ANNHEIM criteria (20).
Signs of severe pancreatitis at the moment of admission to the GE ward:
- Serum CRP > 150 mg/l
More than one SIRS criteria:
- temperature < 36◦C or > 38◦C
- heart rate > 90/min
- respiratory rate >20/min
- leucocytes < 4x/109l or > 12x109/l
- MEWS (Modified Early Warning Score) ≥6 or in need of ICU admission
- Living alone or in an institution (e.g. psychiatric ward or nursing home)
- Known sensitivity to medical adhesives
- Known pregnancy
Have one or more of the following comorbidities:
- Heart failure (NYHA class III or IV)
- COPD (Gold III-IV)
- Kidney disease (>G3b) and/or kidney replacement therapy
- Currently undergoing oncological treatment
- Use of immunosuppressants
- Dysregulated or poorly controlled insulin dependent diabetes
- Morbid obesity (BMI>35 kg/m2)
- Implantable Cardioverter Defibrillator (ICD) or Pacemaker
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: OTHER
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Early discharge with remote home monitoring.
|
After at least 48 hours of hospital admission, patients are discharged early with the use of remote home monitoring.
During home monitoring, heartrate, respiratory rate, posture and movement are monitored every 5 minutes for at least 4 days, using a wearable sensor.
Core temperature is monitored using an ear thermometer.
Patients are contacted once per day by a nurse from the Virtual Monitoring Centre (VMC) to assess pancreatitis related complaints, intake of fluids and food, pain and the use of analgesics.
Patients are asked to provide information to the hospital using a smartphone app.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence (%) of unplanned hospital readmissions.
Time Frame: Within 30 days of discharge
|
To determine the feasibility of novel care pathway
|
Within 30 days of discharge
|
2. Incidence (%) of pancreatitis related complications. These complications include necrotizing pancreatitis, infection, pseudocysts, new onset diabetes, recurrence of pancreatitis, cholecystitis or cholangitis.
Time Frame: Within 30 days of discharge
|
To determine the feasibility of novel care pathway
|
Within 30 days of discharge
|
3. Mortality (%) of patients discharged home with remote monitoring.
Time Frame: Within 30 days of discharge
|
To determine the feasibility of novel care pathway
|
Within 30 days of discharge
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Length of stay in the hospital
Time Frame: Within 30 days of discharge.
|
Within 30 days of discharge.
|
|
The amount of extra contacts between VMC-nurse or physician and the patient, in addition to the usual call once per day as documented in the smartphone app.
Time Frame: Within 30 days of discharge
|
Within 30 days of discharge
|
|
The amount of laboratory or imaging tests
Time Frame: Within 30 days of discharge
|
All bloodtests and imaging tests (US, MRI and CT-scan will be documented)
|
Within 30 days of discharge
|
Amount of adjustments in analgesics needed during home monitoring
Time Frame: Within 30 days of discharge
|
Within 30 days of discharge
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient satisfaction is assessed using a satisfaction questionnaire
Time Frame: After 14 days of discharge.
|
Using a combination of two validated questionnaires
|
After 14 days of discharge.
|
Overall costs of treatment
Time Frame: Within 30 days of discharge
|
Within 30 days of discharge
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: C.M.J. Doggen, prof. dr., Rijnstate Hospital
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ANTICIPATED)
October 1, 2022
Primary Completion (ANTICIPATED)
October 1, 2024
Study Completion (ANTICIPATED)
April 1, 2025
Study Registration Dates
First Submitted
August 8, 2022
First Submitted That Met QC Criteria
August 11, 2022
First Posted (ACTUAL)
August 15, 2022
Study Record Updates
Last Update Posted (ACTUAL)
August 15, 2022
Last Update Submitted That Met QC Criteria
August 11, 2022
Last Verified
August 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NL81630.091.22
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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