Retrospective Review of Mechanically Ventilated Patients Using a Continuous Data Collection System.

NCT ID: NCT02184208

Last Updated: 2018-02-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

278 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-01-17

Study Completion Date

2017-01-09

Brief Summary

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Today, the electronic medical record, microprocessor mechanical ventilators, and physiologic monitoring are under-utilized when translating research into decision support. Current medical informatic capabilities can be leveraged to calculate trends in measured parameters to initiate a paradigm shift in critical care from reaction-based treatment to proactive and plausibly preventative care. Therefore, the purpose of this study is to develop baseline understanding of our practice and how data collection utilizing a newly implemented system called T3. We would like to retrospectively review mechanically ventilated patients in which we have collected continuous data to test a newly developed analytic platform. Additionally we would like to compare these results to our standards of practice established by clinical practice guidelines.

Detailed Description

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Conditions

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Mechanical Ventilation Acute Respiratory Distress Syndrome Hypoxic Respiratory Failure

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Device utlization following extubation

No interventions assigned to this group

Pulmonary mechanics

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patient selection will be determined by available data collected in the T3 system. We estimate 50 patients in which mechanical ventilator data has been collected utilizing the limited intellibridge modules (4 systems currently available to collect ventilator data).

Exclusion Criteria

* Patient not connected to T3 data collection system.
Minimum Eligible Age

1 Day

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Brian Walsh

Research Coordinator / Research Associate

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Castineira D, Schlosser KR, Geva A, Rahmani AR, Fiore G, Walsh BK, Smallwood CD, Arnold JH, Santillana M. Adding Continuous Vital Sign Information to Static Clinical Data Improves the Prediction of Length of Stay After Intubation: A Data-Driven Machine Learning Approach. Respir Care. 2020 Sep;65(9):1367-1377. doi: 10.4187/respcare.07561.

Reference Type DERIVED
PMID: 32879034 (View on PubMed)

Walsh BK, Smallwood C, Rettig J, Kacmarek RM, Thompson J, Arnold JH. Daily Goals Formulation and Enhanced Visualization of Mechanical Ventilation Variance Improves Mechanical Ventilation Score. Respir Care. 2017 Mar;62(3):268-278. doi: 10.4187/respcare.04873. Epub 2017 Jan 10.

Reference Type DERIVED
PMID: 28073993 (View on PubMed)

Walsh BK, Smallwood CD, Rettig JS, Thompson JE, Kacmarek RM, Arnold JH. Categorization in Mechanically Ventilated Pediatric Subjects: A Proposed Method to Improve Quality. Respir Care. 2016 Sep;61(9):1168-78. doi: 10.4187/respcare.04723. Epub 2016 Jun 14.

Reference Type DERIVED
PMID: 27303050 (View on PubMed)

Other Identifiers

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IRB-P000011819

Identifier Type: -

Identifier Source: org_study_id

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