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Establishment of a Predictive System for Perioperative Risk Assessment and Electronic Flowcharting Response Strategies in Thoracic Surgery

Conditions
Perioperative Complications
Interventions
Other: Observation
Registration Number
NCT06566053
Lead Sponsor
Hengxing Liang
Brief Summary

1. To establish a risk assessment scale for thoracic surgery for the Chinese population, and to classify patients; risk according to the relevant scale;

2. Combining the guidelines for the management of acute and critical illnesses in thoracic surgical care units and the characteristics of diagnosis and treatment operations, to make an AI-assisted diagnosis and treatment process software;

3. Evaluate whether the software can provide timely and correct diagnosis and treatment recommendations for critically ill patients, shorten the time for homogenized training of specialist intensivists, and reduce the hospitalization cost of patients under the review of resident training instructors of various specialties.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
10000
Inclusion Criteria
  • Patients admitted to the Department of Thoracic Surgery of the Second Xiangya Hospital of Central South University for surgical treatment.
Exclusion Criteria
  • Patients admitted to the Department of Thoracic Surgery of the Second Xiangya Hospital of Central South University without surgical treatment.

Patients under the age of 18.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients who underwent thoracic surgeryObservationGender:Both Participant age:18-100 Examples include early-stage non-small cell lung cancer (NSCLC), NSCLC patients who have undergone neoadjuvant therapy, esophageal diseases, mediastinal masses, chest wall disorders, and other related conditions.
Primary Outcome Measures
NameTimeMethod
Acute Respiratory Distress Syndrome2024.8-2024.12

ARDS definition was based on the new global definition of ARDS10. Briefly, intubated ARDS was defined as an oxygenation index of less than 300 under a positive end-expiratory pressure (PEEP) of at least 5 cmH2O, and non-intubated ARDS was defined as patients receiving high-flow nasal oxygen (HFNO) ≥ 30 L/min or noninvasive ventilation/continuous positive airway pressure (NIV/CPAP) with a PEEP of at least 5 cmH2O and meeting PaO2:FiO2 ≤ 300 mm Hg or SpO2:FiO2 ≤ 315 (if SpO2 ≤ 97%).

Secondary Outcome Measures
NameTimeMethod
In hospital mortality2024.8-2024.12

refers to the number or percentage of patients who die while being treated in a hospital.

Length of postoperative stay2024.8-2024.12

Length of postoperative stay(days): refers to the duration of time a patient remains in the hospital or medical facility after undergoing surgery.

Length of ICU stay2024.8-2024.12

Length of ICU stay(hours): refers to the total duration of time a patient spends in the Intensive Care Unit (ICU) during a single admission.

Duration of mechanical ventilation2024.8-2024.12

Duration of mechanical ventilation(hours): refers to the length of time a patient requires assistance from a mechanical ventilator to maintain adequate breathing.

Duration of HFNC2024.8-2024.12

Duration of HFNC(hours): refers to the length of time that a patient is treated with High-Flow Nasal Cannula (HFNC) therapy.

Length of hospital stay2024.8-2024.12

Length of hospital stay(days): refers to the total number of days a patient spends in the hospital from the time of admission to the time of discharge.

Trial Locations

Locations (1)

the Second Xiangya Hospital of Central South University

🇨🇳

Changsha, Hunan, China

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