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CTRI Number  CTRI/2024/01/061082 [Registered on: 03/01/2024] Trial Registered Prospectively
Last Modified On: 21/05/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Examining how continuous monitoring with early warnings benefit hospital patients 
Scientific Title of Study   Evaluating the Impact of Continuous Remote Patient Monitoring and Early Warning System on Patient Outcomes in General Hospital Wards 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aby Abraham 
Designation  Professor and Head Department of Hematology 
Affiliation  Christian Medical College 
Address  Room no 23 A501 5th floor A Block Department of Hematalogy Christian Medical College and Hospital Ranipet Campus Ratnagiri Kilminnal Tamil Nadu

Vellore
TAMIL NADU
632517
India 
Phone  04162282352  
Fax    
Email  aby@cmcvellore.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kumar Chokalingam 
Designation  Senior Clinical Research Manager 
Affiliation  Turtle Shell Technologies Pvt Ltd 
Address  Department of Clinical Research Ground floor 40 City Centre Nomads Daily Huddle Chinmaya Mission Hospital Rd Indiranagar Bengaluru

Bangalore
KARNATAKA
560038
India 
Phone  9008349922  
Fax    
Email  kumar.chokalingam@dozee.io  
 
Details of Contact Person
Public Query
 
Name  Dr Kumar Chokalingam 
Designation  Senior Clinical Research Manager 
Affiliation  Turtle Shell Technologies Pvt Ltd 
Address  Department of Clinical Research Ground floor 40 City Centre Nomads Daily Huddle Chinmaya Mission Hospital Rd Indiranagar Bengaluru

Bangalore
KARNATAKA
560038
India 
Phone  9008349922  
Fax    
Email  kumar.chokalingam@dozee.io  
 
Source of Monetary or Material Support  
Turtle Shell Technologies Pvt Ltd 
 
Primary Sponsor  
Name  Turtle Shell Technologies Pvt Ltd 
Address  City Centre 40 Ground and Mezzanine flr Nomads Daily Huddle Chinmaya Mission Hospital Rd Indiranagar Bengaluru 
Type of Sponsor  Other [Medical Device Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aby Abraham  Christian Medical College  Stem Cell transplant unit D603 and D604 6th floor D Block Urology ward C502 5th floor C Block Neurosurgery ward C402 4th floor C Block Pulmonary medicine ward C202 2nd flooor C Block Hepatobiliary ward B601 6th floor B block Christian Medical College Ranipet campus Ratnagiri Kilminnal Vellore
Vellore
TAMIL NADU 
04162282352

aby@cmcvellore.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board, Christian Medical College, Vellore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 4||Measurement and Monitoring,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Adult (18 years old and more) ward patient admitted in one of the identified study wards
2. Weight between 40kg-120kgs
3. They or legal representative are able and willing to provide written informed consent
 
 
ExclusionCriteria 
Details  1. Admitted for observation period of more than 4 hours
2. Weight below 40 kgs and above 120 kgs
3. Have any condition that could interfere with the subjects ability to lie flat or stable on the bed
4. Needs the use of equipments whose operation can interfere with Dozee signal
5. Patient not giving or unable to give consent
6. Pregnant
7. Patients with pacemakers 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Enhanced Patient safety, Optimised health economics   At baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Ease of usage  At baseline 
 
Target Sample Size   Total Sample Size="3000"
Sample Size from India="3000" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/01/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  


Recognizing and responding to signs of worsening health in hospital wards is a common problem. Due to the large number of patients, healthcare providers can only check vital signs every few hours, which can result in missed signs of deterioration. Digital adoption and remote patient monitoring have become important in healthcare, but continuous monitoring is not widely used outside critical care settings. Implementing continuous monitoring in general wards can lead to alarm fatigue and high false alarm rates, burdening caregivers and potentially putting patients at risk.

Dozee, developed by Turtle Shell Technologies (TST) Private Limited, is a validated system for remote patient monitoring. It uses non-invasive sensors to continuously monitor heart rate, respiration rate, blood pressure, ECG rhythm, temperature and SpO2. Dozee goes beyond traditional patient monitors by delivering EWS Alerts based on customized algorithms using the above vital values. These alerts consider the overall patient condition, reducing excessive alerts and alarm fatigue. This clinical study aims to assess the impact of Dozee’s  EWS Alerts on patients’ clinical outcomes. The study will be conducted in two phases. In the first phase, the correlation between Dozee’s EWS Alerts, on patient outcomes will be examined. No clinical actions will be taken based on the alerts during this phase and the present standard of care will be followed in the study wards. In the second phase, interventions will be taken based on Dozee’s  Alerts, and the outcomes will be documented. A comparative analysis between the two phases will provide insights into the impact of Dozee on healthcare delivery and patient outcomes.
 
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