Status:

UNKNOWN

Remote Monitoring of High-Risk Patients With Chronic Cardiopulmonary Diseases

Lead Sponsor:

Institute of Bioengineering and Bioimaging (IBB)

Collaborating Sponsors:

Massachusetts General Hospital

Conditions:

Congestive Heart Failure

Asthma

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

In this project, Institute of Bioengineering \& Bioimaging (IBB), A\*STAR would like to collaborate with Massachusetts General Hospital to aggregate patient data and to further develop its software al...

Detailed Description

Exacerbations of chronic cardiopulmonary diseases are a major cause of morbidity and mortality worldwide. There are an estimated 23 million patients with heart failure worldwide, and the prevalence of...

Eligibility Criteria

Inclusion

  • Subject age 18 or older
  • Receives all primary and specialty care within the MassGeneral Brigham system
  • A history of one of the following diagnoses:
  • Asthma
  • Cystic Fibrosis
  • Chronic obstructive pulmonary disease
  • Congestive heart failure
  • At least four documented exacerbations of the above disease in the past 12 months as defined by the following corresponding criteria:
  • a. Asthma exacerbation: i. a minimum 3-day course of oral steroids ii. for patients on chronic steroids, an increased dose of steroids.
  • b. Cystic fibrosis exacerbation: a minimum 7-day course of systemic antibiotics (not including any chronic suppressive antibiotics).
  • c. Chronic obstructive pulmonary disease exacerbation: all three of (1) increase in frequency and severity or severity of cough, (2) increase in volume and/or change of character of sputum production, and (3) increase in dyspnea, and requiring treatment with short-acting bronchodilators, antibiotics, and oral or intravenous glucocorticoids.
  • d. Congestive heart failure exacerbation: volume overload (as evidenced by weight gain or elevated BNP \[\>100 pg/mL\]/NT-proBNP \[\>300 pg/mL)) plus dyspnea plus diuretic treatment (new or increase from baseline).
  • Subject able to provide informed consent.

Exclusion

  • Subjects with a history of adhesive or tape allergy or skin reaction.
  • Subjects with pacemaker, Automatic Implantable Cardioverter Defibrillator (AICD) and other implantable electronic devices.
  • Subjects with neuromuscular disease, seizures and/or Parkinson's disease.
  • Subjects with expected out of state travel within a 90-day period or travel to a location with no internet access.
  • Subjects enrolled in hospice care or life expectancy less than three months.
  • Subjects living more than 60 miles away from Massachusetts General Hospital. -

Key Trial Info

Start Date :

April 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2022

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT04825067

Start Date

April 1 2022

End Date

December 31 2022

Last Update

September 29 2022

Active Locations (1)

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1

Integrated Care Management Program

Boston, Massachusetts, United States, 02114