Deep Learning Based Early Warning Score in Rapid Response Team Activation

NCT ID: NCT04951973

Last Updated: 2021-07-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

50000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-08-01

Study Completion Date

2022-04-30

Brief Summary

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The objective of this study is to evaluate the safety and clinical usefulness of the Deep learning based Early Warning Score (DEWS).

Detailed Description

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SPTTS is the representative trigger tracking system. In addition to the conventional SPTTS, DEWS will be calculated at each time point by the previously developed algorithm. SPTTS and DEWS will be shown simulataneously on the screening board. The rapid response team performs the rescue activity as before, using both SPTTS and DEWS simultaneously.

The alarm threshold setting of DEWS will be changed to 70 points, 75 points, and 80 points every month.

The primary and secondary outcomes will be evaluated to compare SPTTS and DEWS (based on each threshold).

Conditions

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Hospital Rapid Response Team Hospital Medical Emergency Team

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Deep Learning Based Early Warning Score (DEWS)

DEWS use 4 vital signs (systolic blood pressure, HR, respiratory rate, and body temperature) to predict in-hospital cardiac arrest. Deep-learning approach facilitates learning the relationship between the vital signs and cardiac arrest to achieve the high sensitivity and low false-alarm rate of the track-and-trigger system (TTS).

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients admitted to general ward and monitored by in-hospital rapid response system

Exclusion Criteria

* patients admitted to pediatric ward
* patients in emergency room, intensive care unit, and operating room
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Korea Health Industry Development Institute

OTHER_GOV

Sponsor Role collaborator

VUNO Inc.

INDUSTRY

Sponsor Role collaborator

Inha University Hospital

OTHER

Sponsor Role collaborator

Mediplex Sejong Hospital, Incheon

UNKNOWN

Sponsor Role collaborator

Sejong General Hospital

OTHER

Sponsor Role collaborator

Dong-A University

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Yeon Joo Lee, MD

Role: CONTACT

82-31-787-7082

References

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Kwon JM, Lee Y, Lee Y, Lee S, Park J. An Algorithm Based on Deep Learning for Predicting In-Hospital Cardiac Arrest. J Am Heart Assoc. 2018 Jun 26;7(13):e008678. doi: 10.1161/JAHA.118.008678.

Reference Type BACKGROUND
PMID: 29945914 (View on PubMed)

Cho KJ, Kwon O, Kwon JM, Lee Y, Park H, Jeon KH, Kim KH, Park J, Oh BH. Detecting Patient Deterioration Using Artificial Intelligence in a Rapid Response System. Crit Care Med. 2020 Apr;48(4):e285-e289. doi: 10.1097/CCM.0000000000004236.

Reference Type BACKGROUND
PMID: 32205618 (View on PubMed)

Cho KJ, Kim JS, Lee DH, Lee SM, Song MJ, Lim SY, Cho YJ, Jo YH, Shin Y, Lee YJ. Prospective, multicenter validation of the deep learning-based cardiac arrest risk management system for predicting in-hospital cardiac arrest or unplanned intensive care unit transfer in patients admitted to general wards. Crit Care. 2023 Sep 5;27(1):346. doi: 10.1186/s13054-023-04609-0.

Reference Type DERIVED
PMID: 37670324 (View on PubMed)

Other Identifiers

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DEWS_2021

Identifier Type: -

Identifier Source: org_study_id

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