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临床试验/NCT02766166
NCT02766166招募中不适用

Critical Health Assessment and Outcomes Score/Study

Johns Hopkins University3 个研究点 分布在 1 个国家目标入组 200,000 人开始时间: 2019年9月1日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
200,000
试验地点
3
主要终点
Time to Mortality

研究概览

简要总结

CHAOS is based on the investigator's new and exciting results from pre-clinical and large longitudinal multi-center observational clinical studies of critically ill patients and asymptomatic community-based adults with little or no advanced disease.

By integrating approaches from the physical, biological, computational, statistical and clinical sciences, this observational study will test the hypothesis that early diagnosis of subclinical signatures of critical illness encoded within physiological signals complements conventional clinical predictors by providing unique prognostic insight.

The primary goal is to reduce mortality, morbidity and complications by early identification of individuals with brewing subclinical critical illness and adverse events before overt clinical presentation (e.g., cardiac arrest, arrhythmias, hemorrhage, respiratory failure, circulatory collapse). This will provide the necessary lead time for healthcare providers to deliver early, more effective and/or preventive therapies. Through innovative approaches, CHAOS also meets the challenge of medical errors to reduce missed diagnosis, misdiagnosis, preventable harm and variability in provider adherence to best practice guidelines.

The goal is to validate predictive algorithms and identify subclinical signatures of illness, ranging from asymptomatic adults in the community to very sick patients in the hospital. The overall goal is to make healthcare more precise, effective, efficient, safe and timely while reducing costs, preventable harms and adverse events.

研究设计

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

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • All patients age 18-100 years admitted to a bed or OR with telemetry monitoring capability will be included.

排除标准

  • Children (individuals <18 years of age).

结局指标

主要结局

Time to Mortality

时间窗: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

Duration of ICU/hospital stay

时间窗: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

次要结局

  • Non-fatal adverse events(through study completion, an average of 1 year)
  • readmission to unit or hospital(30 days)
  • Rates of critical care transfer(through study completion, an average of 1 year)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (3)

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Critical Health Assessment and Outcomes Score/Study | 临床试验