Sepsis
Conditions
Keywords
clinical data warehouse (CDWH), machine learning, data-driven algorithms, multi-dimensional modelling
Brief summary
This multi-center study is to focus on patients with sepsis in Intensive Care Units (ICUs) in order to better understand the complex host-pathogen interaction and clinical heterogeneity associated with sepsis. Understanding this heterogeneity may allow the development of novel diagnostic approaches. Data from patients will be analyzed using state-of-the art analytical algorithms for biomarker discovery including machine learning and multidimensional mathematical modelling to explore the large datasets generated. In order to discover digital biomarkers for the study endpoints a case-control study design will be used to compare data patterns from patients with sepsis (cases) and those without sepsis (controls).
Interventions
compare data patterns by data-driven algorithms including machine learning and multi-dimensional modelling to reliably determine sepsis
compare data patterns by data-driven algorithms including machine learning and multi-dimensional modelling to to predict sepsis-related mortality
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients admitted to an ICU on a Swiss University Hospital. * Patients expected to stay at least 24h on the ICU Inclusion Criteria (cases) * Present at admission to ICU or subsequent development of sepsis 3.0 criteria Inclusion Criteria (controls) * Patients not fulfilling sepsis definition during the ICU stay
Exclusion criteria
* Decline of general consent or any other negative statement against using data for research. * Patients with a clear elective stay on the ICUs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| sepsis-related mortality (sensitivity) | time- series data collected from hospital entry until maximum 12 months after hospital exit (no exact time point specified) | Algorithm to predict sepsis-related mortality (sensitivity) |
| sepsis-related mortality (specificity) | time- series data collected from hospital entry until maximum 12 months after hospital exit (no exact time point specified) | Algorithm to predict sepsis-related mortality (specificity) |
| Determination of sepsis | time- series data collected from hospital entry until hospital exit; an average of 1 month (no exact time point specified) | Algorithm to determine sepsis at an early stage (at least 12 hours before classical definitions) |
Countries
Switzerland