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The investigators aimed to investigate the deep learning model to predict intraoperative hypotension using non-invasive monitoring parameters.
Intraoperative hypotension is associated with various postoperative complications such as acute kidney injury. Therefore, precise prediction and prompt treatment of intraoperative hypotension are important. However, it is difficult to accurately predict intraoperative hypotension based on the anesthesiologists' experience and intuition. Recently, deep learning algorithms using invasive arterial pressure monitoring showed the good predictive ability of intraoperative hypotension. It can help the clinician's decisions. However, most patients undergoing general surgery are monitored by non-invasive parameters. Therefore, the investigators investigate the prediction model for intraoperative hypotension using non-invasive monitoring.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group | In the open source database (VitalDB, https://vitaldb.net), the patients who underwent general anesthesia with non-invasive monitoring including blood pressure, electrocardiography, pulse oximetry, bispectral index, capnography, and minimal alveolar concentration of inhalation agent. |
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| Measure | Description | Time Frame |
|---|---|---|
| Deep learning model's prediction ability on intraoperative hypotension event | Area under the curve the receiver operating characteristic (AUROC) curve for the deep learning model to predict intraoperative hypotension. | through study completion, an average of 3 hour |
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Inclusion Criteria:
Exclusion Criteria:
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The study population included patients who underwent inhaled general anesthesia for non-cardiac surgery between June 2016 and August 2017 at Seoul National University Hospital, Seoul, South Korea.
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| Name | Affiliation | Role |
|---|---|---|
| Hyun Joo Ahn, MD, PhD | Samsung Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsung Medical Center | Seoul | Seoul | 06351 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33558051 | Background | Lee S, Lee HC, Chu YS, Song SW, Ahn GJ, Lee H, Yang S, Koh SB. Deep learning models for the prediction of intraoperative hypotension. Br J Anaesth. 2021 Apr;126(4):808-817. doi: 10.1016/j.bja.2020.12.035. Epub 2021 Feb 6. | |
| 29367620 | Background | Lee HC, Jung CW. Vital Recorder-a free research tool for automatic recording of high-resolution time-synchronised physiological data from multiple anaesthesia devices. Sci Rep. 2018 Jan 24;8(1):1527. doi: 10.1038/s41598-018-20062-4. |
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