This protocol describes a 90-day prospective pilot study designed to validate the capacity of the ADEN clinical intelligence platform to stratify early chronic disease risk across six priority public health profiles in Colombia.
A total of 120 participants will be enrolled across enriched risk groups: preventive/healthy population (n = 30), cardiometabolic (n = 40), respiratory/oncological/autoimmune (n = 30), and older adult/frailty (n = 20). ADEN's performance will be assessed using weighted Kappa agreement against a reference clinical evaluation, with sensitivity, specificity, and 95% confidence intervals as secondary measures.
The study is conducted under the principles of the Declaration of Helsinki, CIOMS guidelines, Resolution 8430 of 1993 from the Colombian Ministry of Health, and personal data protection regulations (Law 1581 of 2012). All participants will sign informed consent prior to any procedure.
8.2 General Inclusion Criteria
Patients without known chronic disease, interested in anticipatory risk assessment or presenting with initial factors of biological or familial susceptibility.
Patients with at least one of the following: overweight or obesity (BMI ≥ 25 kg/m²), hypertension, dyslipidemia, insulin resistance, prediabetes (fasting blood glucose 100-125 mg/dL or HbA1c 5.7-6.4%), metabolic syndrome (ATP III criteria), or first-degree family history of type 2 diabetes mellitus or cardiovascular disease.
Individuals in clinically stable condition, without acute decompensation, for whom assessment of early functional patterns, low-grade chronic inflammation, immunological dysfunction, or oncological recurrence/progression risk is relevant. The predominant subcomponent (respiratory, autoimmune, or oncological) will be recorded for differentiated analysis.
Patients aged 60 years or older, or younger patients meeting frailty criteria (Fried index ≥ 1 criterion), with mild functional impairment, sarcopenia, polypharmacy (≥ 5 medications), or controlled multiple comorbidity.
Medellín, Antioquia 050021, Colombia
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