CADDIE2—evaluation of a clinical decision-support system for early detection of systemic inflammatory response syndrome in paediatric intensive care: study protocol for a diagnostic study
Autor: | Bianca Steiner, Sara Montag, Michael Marschollek, André Karch, Thomas Jack, Antje Wulff, Philipp Beerbaum |
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Rok vydání: | 2019 |
Předmět: |
Critical Care
020205 medical informatics Clinical Decision-Making Early detection 02 engineering and technology Pediatrics Clinical decision support system 03 medical and health sciences 0302 clinical medicine Clinical Decision Rules Intensive care Protocol 0202 electrical engineering electronic engineering information engineering Humans Medicine 030212 general & internal medicine Child clinical decision support systems Protocol (science) business.industry Paediatric intensive care Reproducibility of Results Paediatrics clinical trial General Medicine Gold standard (test) Decision Support Systems Clinical medicine.disease Systemic Inflammatory Response Syndrome Data Accuracy Clinical trial Systemic inflammatory response syndrome Medical emergency business |
Zdroj: | BMJ Open BMJ Open, Vol 9, Iss 6 (2019) |
ISSN: | 2044-6055 |
Popis: | IntroductionSystemic inflammatory response syndrome (SIRS) is one of the most critical indicators determining the clinical outcome of paediatric intensive care patients. Clinical decision support systems (CDSS) can be designed to support clinicians in detection and treatment. However, the use of such systems is highly discussed as they are often associated with accuracy problems and ‘alert fatigue’. We designed a CDSS for detection of paediatric SIRS and hypothesise that a high diagnostic accuracy together with an adequate alerting will accelerate the use. Our study will (1) determine the diagnostic accuracy of the CDSS compared with gold standard decisions created by two blinded, experienced paediatricians, and (2) compare the system’s diagnostic accuracy with that of routine clinical care decisions compared with the same gold standard.Methods and analysisCADDIE2 is a prospective diagnostic accuracy study taking place at the Department of Pediatric Cardiology and Intensive Care Medicine at the Hannover Medical School; it represents the second step towards our vision of cross-institutional and data-driven decision-support for intensive care environments (CADDIE). The study comprises (1) recruitment of up to 300 patients (start date 1 August 2018), (2) creation of gold standard decisions (start date 1 May 2019), (3) routine SIRS assessments by physicians (starts with recruitment), (4) SIRS assessments by a CDSS (start date 1 May 2019), and (5) statistical analysis with a modified approach for determining sensitivity and specificity and comparing the accuracy results of the different diagnostic approaches (planned start date 1 July 2019).Ethics and disseminationEthics approval was obtained at the study centre (Ethics Committee of Hannover Medical School). Results of the main study will be communicated via publication in a peer-reviewed journal.Trial registration numberClinicalTrials.govNCT03661450; Pre-results. |
Databáze: | OpenAIRE |
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