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临床试验/NCT06392048
NCT06392048已完成不适用

Prediction of Length of Hospital Stay in Hip Fracture Patients After Post-Anesthesia Care Unit Using Artificial Intelligence

Kocaeli University1 个研究点 分布在 1 个国家目标入组 366 人开始时间: 2024年5月25日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
366
试验地点
1
主要终点
Prediction of Length of Hospital Stay in Hip Fracture Patients After Post-Anesthesia Care Unit Using Artificial Intelligence

研究概览

简要总结

With increasing life expectancy, the elderly population is growing. Hip fractures significantly increase morbidity and mortality, particularly within the first year, among elderly patients. Managing anesthesia in these elderly patients, who often have multiple comorbidities, is challenging. Identifying perioperative factors that can reduce mortality will benefit the perioperative management of these patients.

The aim of this study is to develop and validate a machine learning based model to predict the length of hospital stay for hip fracture patients after PACU. Different machine learning algorithms such as R language Gradient Boosting, Random Forest, Artificial Neural Networks and Logistic Regression will be used in the study and the best performing model will be determined. In addition, the prediction mechanism of the model will be examined with SHAP analysis and its applicability in clinical decision processes will be evaluated. Thus, by predicting the length of hospital stay, clinicians will be enabled to manage patient care processes more effectively.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
65 Years 至 100 Years(Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients who underwent hip fracture surgery at our institution between 2017 and 2024
  • Patients aged 65 years or older
  • Patients with hip fractures resulting from a low-energy trauma (simple fall from standing height)

排除标准

  • Patients with pathological hip fractures due to malignancy
  • Cancer patients with multiple organ metastases
  • Patients who underwent revision hip fracture surgery

结局指标

主要结局

Prediction of Length of Hospital Stay in Hip Fracture Patients After Post-Anesthesia Care Unit Using Artificial Intelligence

时间窗: Assessed up to 30 days from PACU admission to hospital discharge

Unit of Measure: Days * Definition: Absolute difference between predicted and actual length of stay * Target: ±7 days accuracy

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Volkan Alparslan

Asist. Prof. M.D

Kocaeli University

研究点 (1)

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