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In this clinical outcomes analysis, the effect of a machine learning algorithm for severe sepsis prediction on in-hospital mortality, hospital length of stay, and 30-day readmission was evaluated.
Materials and Methods: Clinical outcomes evaluation performed on a multiyear, multicenter clinical data set of real-world data containing 75,147 patient encounters from nine hospitals. Mortality, hospital length of stay, and 30-day readmission analysis performed for 17,758 adult patients who met two or more Systemic Inflammatory Response Syndrome (SIRS) criteria at any point during their stay.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Comparator | Experimental | The comparator arm will involve patients monitored by InSight. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| InSight | Diagnostic Test | Clinical decision support (CDS) system for severe sepsis detection and prediction |
|
| Measure | Description | Time Frame |
|---|---|---|
| In-hospital mortality | Rate of in-hospital mortality based on SIRS criteria | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital length of stay | Duration of hospital length of stay in days based on SIRS criteria | 1 year |
| 30-day readmissions | Rate of patient readmissions within 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ritankar Das, MSc | Dascena | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32354696 | Derived | Burdick H, Pino E, Gabel-Comeau D, McCoy A, Gu C, Roberts J, Le S, Slote J, Pellegrini E, Green-Saxena A, Hoffman J, Das R. Effect of a sepsis prediction algorithm on patient mortality, length of stay and readmission: a prospective multicentre clinical outcomes evaluation of real-world patient data from US hospitals. BMJ Health Care Inform. 2020 Apr;27(1):e100109. doi: 10.1136/bmjhci-2019-100109. |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D004194 | Disease |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| 1 year |
| D013568 |
| Pathological Conditions, Signs and Symptoms |