[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100565624":3},{"organization":4,"outcomesModule":7,"designInfo":38,"detailedDescription":49,"studyPopulation":37,"armGroups":50,"interventions":59,"overallOfficials":37,"centralContacts":64,"locations":71,"responsibleParty":90,"collaborators":37,"id":95,"slug":37,"hasResults":96,"nctId":97,"briefTitle":98,"officialTitle":99,"acronym":100,"eligibilityCriteria":101,"healthyVolunteers":96,"sex":102,"minAge":103,"maxAge":37,"enrollmentInfo":104,"targetDuration":37,"studyType":107,"phases":108,"briefSummary":110,"conditions":111,"keywords":113,"overallStatus":74,"whyStopped":37,"lastUpdateSubmitDate":117,"lastUpdatePostDateStruct":118,"startDateStruct":121,"completionDateStruct":123,"leadSponsor":125,"locationsCount":126},{"fullName":5,"class":6},"King Abdullah International Medical Research Center","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":37},[9],{"measure":10,"description":11,"timeFrame":12},"Composite endpoint of 30-day in-hospital mortality, cardiac arrest, requirement of vasopressor or intubation","After hospital admission within 30 days","30 days",[14,17,21,24,28,31,34],{"measure":15,"description":16,"timeFrame":12},"Cardiac arrest","cardiac arrest within 30 days of hospital admission",{"measure":18,"description":19,"timeFrame":20},"Requirement of vasopressors","use of vasopressors\u002Finotropic support","within 30 days of hospital admission",{"measure":22,"description":23,"timeFrame":12},"Requirement of intubation","need for mechanical ventilation within 30 days of hospital admission",{"measure":25,"description":26,"timeFrame":27},"Hospital length of stay","censored at 90 days","90 days",{"measure":29,"description":30,"timeFrame":12},"Transfer to ICU","ICU admission within 30 days of hospital admission",{"measure":32,"description":33,"timeFrame":12},"ICU- free days","in the first 30 days of hospital admission",{"measure":35,"description":36,"timeFrame":12},"CCRT activation","Critical care response team activation within 30 days of hospital admission",null,{"allocation":39,"interventionModel":40,"interventionModelDescription":37,"primaryPurpose":41,"observationalModel":37,"timePerspective":37,"maskingInfo":42},"RANDOMIZED","SEQUENTIAL","SUPPORTIVE_CARE",{"masking":43,"maskingDescription":44,"whoMasked":45},"TRIPLE","The randomization list will be maintained with a research coordinator who is not involved in this trial, and the ward allocation will remain concealed from the research and clinical teams throughout the study and will be revealed for a given sequence only 1 month before the implementation of the intervention to allow training.",[46,47,48],"CARE_PROVIDER","INVESTIGATOR","OUTCOMES_ASSESSOR","The trial is designed as a stepped-wedge cluster RCT. Hospital wards (which constitute clusters in this design) will be randomized to have wireless monitoring, 7 wards at a time, with each 7 wards constituting a sequence. The study consists of 5 periods of two-month sequences followed by a one-month transition time with a phased introduction of the intervention. In the first period, all wards will have no wireless monitoring. After a baseline period of 2 (+1 washout) months, the intervention (monitoring system) will be implemented in a randomly selected new sequence every 3-month period until the intervention is implemented in all sequences.",[51,55],{"label":52,"type":53,"description":54,"interventionNames":37},"Wireless monitoring","ACTIVE_COMPARATOR","Wireless monitoring will be applied on patients who are at high risk, identified as having a National Early Warning Score (NEWS)-2 score of 5 or higher, patients with lower NEWS-2 scores if the clinical team has a clinical concern, patients with Critical Care Response Team (CCRT) activation regardless of NEWS-2 score and post-ICU discharges regardless of NEWS-2 score. The technology allows to have alarms for patients who meet preset thresholds for vital signs. These alarms are transmitted through a mobile device to the charge nurse of the related ward. The wireless system will be monitored 24\u002F7 by a critical care nurse",{"label":56,"type":57,"description":58,"interventionNames":37},"Control","NO_INTERVENTION","Usual care with no wireless monitoring.",[60],{"type":61,"name":62,"description":63,"armGroupLabels":37,"otherNames":37},"DEVICE","wireless monitoring","The monitoring wireless system will continuously monitor the heart rate, oxygen saturation (SpO2), respiratory rate, and blood pressure and in selected patients electrocardiography (ECG).",[65],{"name":66,"role":67,"phone":68,"phoneExt":69,"email":70},"Yaseen M Arabi, MD","CONTACT","018011111","18899","arabi@mngha.med.sa",[72],{"facility":73,"status":74,"city":75,"state":76,"zip":37,"country":77,"countryCode":78,"cosmosGeoPoint":79,"geoPoint":84,"contacts":85},"King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia","RECRUITING","Riyadh","Riyadh Region","Saudi Arabia","SA",{"type":80,"coordinates":81},"Point",[82,83],46.72185,24.68773,{"lat":83,"lon":82},[86],{"name":87,"role":67,"phone":88,"phoneExt":89,"email":70},"Yaseen M Arabi, MD, FCCP, FCCM, ATSF","+966 (11) 801-1111","18855",{"type":91,"investigatorFullName":92,"investigatorTitle":93,"investigatorAffiliation":94,"oldNameTitle":37,"oldOrganization":37},"PRINCIPAL_INVESTIGATOR","Dr Yaseen Arabi","Chairman intensive care unit","King Saud Bin Abdulaziz University for Health Sciences","100565624",false,"NCT06644599","Wireless Monitoring for Clinical Deterioration","Integrated Proactive Wireless Monitoring for Clinical Deterioration: A Stepped Wedge Randomized Trial","i-PROTECT","Inclusion Criteria:\n\nWard level Inpatient wards, defined as wards used to manage adult inpatients.\n\nPatient level\n\n1. Aged 14 years or older\n2. Checked in as inpatient status to one of the study wards\n\nExclusion Criteria:\n\nWard level\n\n1. Cardiology, pediatric, obstetric wards\n2. ICUs and emergency departments\n3. Operating rooms\n4. Outpatient clinics\n5. Daycare wards, endoscopy, outpatient procedure areas, hemodialysis units\n\nPatient level No commitment for full life support at the time of arrival to the study ward (designated as Do-Not-Resuscitate status)","ALL","14 Years",{"count":105,"type":106},13160,"ESTIMATED","INTERVENTIONAL",[109],"NA","The study evaluates whether implementing a wireless monitoring system for patients admitted to hospital wards reduces mortality and cardiopulmonary failure.",[112],"Inpatient Facililty Diagnoses",[114,62,115,116],"inpatients","mortality","cardiopulmonary failure","2026-02-25",{"date":119,"type":120},"2026-02-27","ACTUAL",{"date":122,"type":120},"2026-02-01",{"date":124,"type":106},"2026-12",{"name":5,"class":6},1]