Digital Intelligent Assistant for Nursing Application (DIANA)

Geriatrische Klinik St. Gallen

Status: Enrolling

Conditions: Incontinence, Urinary; Frailty Syndrome; Incontinence Bowel; Delirium in Old Age; Dementia; Fall in Nursing Home

Treatments: Device: Three dimensional sensor system designed for fall detection (Fearless)

Study type: Observational

Funder types: Other

Identifiers

NCT04393272

BASEC 20-00904

Details and patient eligibility

About

This is an observational study that intends to compare falls or fall-risk related alarms derived from a three-dimensional sensor system with the clinical reality definded by attending nurses.

Full description

Three dimensional sensor technology (3DS) is available for fall detection and fall prevention (e.g. unwanted getting up in persons with risks for frequent falls) in several institutions in Europe and Switzerland. 3DS are capable to analyze completely anonymized data and alert nurses towards a dangerous (fall) or potentially dangerous (getting out of bed) event during day- and nighttime. Multi-sensor technology has been applied to assess activities of daily living in persons cognitive problems living at home. To our knowledge, 3DS technology has not been examined as part of a structured clinical protocol. In addition, the combination of two digital technologies (3DS and a server based software) as an integrative platform could help to develop algorithms to analyze complex human activities such as using a toilet. Automated analyses of such complex activities have the potential to support nursing staff in the future.

Enrollment: 25 estimated patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria Informed consent given by person or caregiver Patients admitted

• with or without cognitive decline for any reason
• with acute and/or chronic conditions
• after any kind of surgery

Exclusion Criteria:

1. For Falls assessment by 3D sensors:

   • Based on the multifactorial risk for falls there are no exclusion criteria for falls assessment

2. For the development of toileting algorithm:

   • severe urine or fecal incontinence
   • permanent indwelling urinary catheter
   • permanent urinary or bowel stoma