Virtual Ward to Enable Earlier Hospital Discharge

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This single-center prospective cohort effort at Erasmus MC enrolls adult inpatients who are clinically stable enough for early discharge into one of six predefined care pathways. Enrolled patients leave the hospital earlier and receive hospital-level monitoring and treatment at home via the Digizorg app, digital vital-sign devices, structured anamnesis questionnaires, and clinician oversight. The primary feasibility goal is to determine whether at least 30% of eligible patients can be successfully and safely transferred to the Virtual Ward within current Dutch healthcare conditions. Outcomes include successful transfer rates, safety events, and the practicality of delivering diagnostics and treatments at home across the sub-cohorts.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Adult patients (≥18 years old).
* Currently hospitalized and eligible for early discharge according to clinical judgment.
* Ability to provide written informed consent.
* Access to a smartphone or tablet with internet connection.
* Patient is capable of using the Digizorg app or has support from a caregiver who can assist.
* Suitable home situation for Virtual Ward care (e.g., safe environment, necessary utilities available).
* Enrollment in one of the predefined Virtual Ward care pathways

Exclusion Criteria:

* Patients requiring continuous hospital-based monitoring or interventions that cannot be safely delivered at home.
* Patients who are hemodynamically unstable or require oxygen therapy \>5 liters/minute at the time of discharge.
* Patients unable or unwilling to comply with home monitoring procedures.
* Patients with significant cognitive impairment without adequate caregiver support.
* Patients with a life expectancy less than 30 days, as assessed by the treating physician.
* Patients participating in another interventional clinical trial that could interfere with the Virtual Ward protocol.
* Any other condition that, in the opinion of the treating physician, would make participation unsafe or infeasible.

Where it's running

• Erasmus Medical Center
  Rotterdam, Netherlands Recruiting

Study contacts

• Principal investigator: Cox van de Weg, MD, PhD — Erasmus Medical Center
• Study coordinator: Michael C. van Herwerden, MD
• Email: m.vanherwerden@erasmusmc.nl
• Phone: +31107040704

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.