Respiratory Failure Clinical Trial
— AI-ARFOfficial title:
Data Completeness and Analysis of Underlying Systems Factors in a Retrospective Cohort - Postoperative Respiratory Abnormalities
Verified date | June 2020 |
Source | Efficacy Care R&D Ltd |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The study aims to determine how historical cases of respiratory abnormalities are documented by clinicians in the electronic health records (EHR) of Memorial Hermann Healthcare System (MHHS) inpatient facilities. The knowledge gained from this study will support the design of modern data-driven surveillance approach to continuously collect, monitor and timely recognize postoperative respiratory abnormalities using electronic healthcare recorded data.
Status | Active, not recruiting |
Enrollment | 50000 |
Est. completion date | October 2020 |
Est. primary completion date | October 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 90 Years |
Eligibility |
Inclusion Criteria: The study aims to investigate patient records for all postoperative patients aged 18 years and older undergoing unplanned admission to an intensive care unit (ICU). Criteria to be Met (ASA = American Society of Anesthesiology Class) Age greater than 18 years old on admission; ASA 1: A normal healthy patient; or ASA 2: A patient with a mild systemic disease; or ASA 3: A patient with a severe systemic disease that is not life-threatening; or ASA 4: A patient with a severe systemic disease that is a constant threat to life; or Major complication associated with either operating room procedure or anesthesia. Example: Cardiac or circulatory event and/or Cardiac arrest during or within 24 hours of operation or administration of anesthesia; or Acute myocardial infarction (AMI) during or within 48 hours of operation or administration of anesthesia; or Central nervous system event (e.g., CVA, seizures, coma) during or within 48 hours of operation or administration of anesthesia; or Respiratory failure not present prior to the 25th hour of hospitalization or not present before surgery; or Whichever is earlier, indicated by any of: the reinstitution of ventilator support following discontinuance after operation; or Continuous ventilator support for more than 7 days following operation; or use of a ventilator postoperatively only. Exclusion Criteria: Patient records who are under 18 years of age; Any surgical or invasive procedure performed as an emergency; or Respiratory abnormality present on admission; ASA 5: A moribund patient who is not expected to survive without the operation. The patient is not expected to survive beyond the next 24 hours without surgery. ASA 6: A brain-dead patient whose organs are being removed with the intention of transplanting them into another patient. |
Country | Name | City | State |
---|---|---|---|
United States | Memorial Hermann Medical Center | Houston | Texas |
Lead Sponsor | Collaborator |
---|---|
Efficacy Care R&D Ltd | CRG Medical, Inc., Memorial Hermann Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | postoperative respiratory abnormalities | The primary outcomes measured in this study are the number of cases determining the presence, absence, or likelihood of subsequent development of postoperative respiratory abnormalities. | 30 days | |
Secondary | Length- of-Stay | Unplanned ICU Length- of-Stay (LOS) | 30 days | |
Secondary | Inpatient mortality overall | 30 days | ||
Secondary | The incremental cost-effectiveness ratio (ICER) | 30 days | ||
Secondary | 30-day readmission | 30 days | ||
Secondary | 30-day hospital mortality | 30 days | ||
Secondary | time to event | 30 days |
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