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BP Management System User Acceptance Testing

Live User Acceptance Testing of a Decision Support System to Optimize Blood Pressure Management During Critical Care

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04688450
Enrollment
20
Registered
2020-12-30
Start date
2021-01-21
Completion date
2023-05-31
Last updated
2025-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypotension and Shock

Keywords

vasopressor, arterial blood pressure, clinical decision support system

Brief summary

This is a feasibility study for an investigational clinical decision support system (the System) intended to optimize the management of blood pressure (BP) for patients during vasopressor infusion. The investigational outcomes are the perceptions of the nurse-subjects who are managing the BP of the patient-subjects; the operational performance of the System; and any technical failures of the software during real-time operation.

Detailed description

This is a feasibility study for an investigational clinical decision support system (the System) intended to optimize the management of blood pressure (BP) for patients during vasopressor infusion. Enrollment is planned of a convenience sample of 20 individual patient-subjects and also the 20 nurse-subjects who correspond to the primary nurses managing the patient-subjects. Consent will be obtained by the investigative team from the patient-subject (or close family member or healthcare proxy) and from the nurse-subject. The nurse will receive training in the intended use and important limitations of the System. The System will be deployed to the patient's bedside and the System will be initiated. This intervention will continue for a duration of between 4 to 8 hours. A Technical Observer (TO) will be present to continually oversee the operation of the System, watching to ensure that there are no observable technical failures. The TO will also watch to see if any early termination conditions are met (specifically any concerns by the clinical staff or the patient or the patient's family; any observed technical operational problems; maximum dose vasopressors or hypoxia despite maximum respiratory support; or unplanned bedside response by the clinical care team) and also will make annotations about the exact time that specific clinical interventions are performed. After the intervention, the nurse-subject will be surveyed. Prior to enrollment of a subsequent subject, additional data analysis -- sufficient to identify or exclude any early stoppage condition -- will be performed on the System's archived electronic data and log files. Any adverse events will be reported to the IRB and the FDA as per FDA and institutional policy.

Interventions

DEVICEVIGORIS Blood Pressure Management Clinical Decision Support System

Software system to optimize tight blood pressure management during vasopressor infusion

Sponsors

Nihon Kohden
CollaboratorINDUSTRY
Andrew Tomas Reisner
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DEVICE_FEASIBILITY
Masking
NONE

Masking description

No masking

Intervention model description

This is a single arm feasibility study

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adult patient (18 years or older) receiving continuous vasopressor infusion to maintain blood pressure; * Clinician treating patient estimates future duration of vasopressor infusion likely at least 4 additional hours; * Provider order has been made that sets lower limit for mean arterial pressure; * Indwelling arterial catheter has been placed for continuous blood pressure monitoring.

Exclusion criteria

* Lack of consent or at the discretion of the patient's primary nurse; * The discretion of any of the patient's other clinical providers; * People who do not speak English will be excluded. The rationale is that this protocol involves the bedside deployment of an investigational system plus longitudinal observation. Our mitigation for psychosocial risk involves a continual observer who can monitor for any evidence of subject psychosocial discomfort, which involves the ability to effectively communicate with the subject throughout the duration of the protocol. This therefore excludes patients who do not speak English. * Patients who are on two simultaneous vasopressors running at maximum doses (per the ICUs own protocols) or who is on one maximum-dose vasopressor and has a contraindication to receiving a second vasopressor (e.g., insufficient vascular access). * Patients who are hypoxic (SpO2 \< 90%) despite maximum inspired oxygen (100% for patients receiving mechanical ventilation, or 10L high-flow in patients who are not candidates for mechanical ventilation). * Provider order has been made that sets lower limit for SBP (because our system does not have the capability to provide decision-support for an SBP lower limit). * Enhanced respiratory precautions for COVID.

Design outcomes

Primary

MeasureTime frameDescription
Quantitative Nurse-subject Survey ResponseUp to 8 hoursNurse-subject quantitative survey response (yes/no) about any confusion or perceived inaccuracies of the system; perceived risk of patient management error; or perceived distraction that impacted care delivery
Software Operation (Based on Real-time Observation)Up to 8 hoursSystem malfunction (yes/no) observed in real-time by the Technical Observer
Data CompletenessUp to 8 hoursCompleteness (yes/no) of flowsheet (data archive of the investigational System) without any lapses in input data from the bedside monitor during connectivity; and without lapses in associated BP forecasts.
Software Operation (Based on Review of Error Logs)Up to 8 hoursError-level and critical-level software errors in the runtime log (yes/no)

Secondary

MeasureTime frameDescription
SHE Incidence (Outcome 3.1)Up to 8 hoursSHE incidence per 24 hrs \[Sustained hypotensive event SHE is any interval commencing upon MAP \< goal & 20-min future median MAP is also \< goal; terminating upon time point when MAP \>= goal and & 20-min future median MAP \>= goal; SHEs occurring sequentially within 10 min are merged; any remaining SHEs not persisting at least 10 min are excluded\]. \[Clarification: We are reporting the mean events per patient-day as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Percentage of Total SHEs Predicted by {Index > 35%} Prior to Earliest Hypotension (Outcome 3.2.1)Up to 8 hoursPercentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to the SHE's earliest hypotension \[hypotension is defined as MAP \< goal, with the exclusion of MAP \< 10 mmHg, which is treated as a missing number\]. Notification events are intervals that begin when there is an Index value that meets the notification criteria and terminate when there is an Index value output that does not meet the notification criteria.
Advance Warning Times (AWTs) for SHEs Predicted by {Index > 35%} Prior to Earliest Hypotension (Outcome 3.2.2)Up to 8 hoursAWTs (median) for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to the SHE's earliest hypotension \[i.e., MAP \< goal\]. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
AWTs for SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Earliest Hypotension (Outcome 3.2.4)Up to 8 hoursAWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to the SHE's earliest hypotension \[i.e., MAP \< goal\]. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
Percentage of Total SHEs Predicted by {Index > 35%} Prior to Continuous Hypotension (Outcome 3.3.1)Up to 8 hoursPercentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to continuous hypotension \[intervals of ≥ 10 minutes of physiological MAP continuously below the hypotension threshold (physiological MAP are samples that do not meet the non-physiological criteria)\]. NOTE: excluding SHEs predicted prior to earliest hypotension
AWTs for SHEs Predicted by {Index > 35%} Prior to Continuous Hypotension (Outcome 3.3.2)Up to 8 hoursAWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to continuous hypotension and excluding SHEs predicted prior to earliest hypotension. NOTE: A negative AWT denotes a notification event that occurs chronologically after the onset of the SHE event. For example, an AWT of -3 would mean the first notification event occurred 3 minutes after the onset of the SHE event, although still in advance of continuous hypotension.
Percentage of Total SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Continuous Hypotension (Outcome 3.3.3)Up to 8 hoursPercentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to continuous hypotension \[intervals of ≥ 10 minutes of physiological MAP continuously below the hypotension threshold (physiological MAP are samples that do not meet the non-physiological criteria)\]. NOTE: excluding SHEs predicted prior to earliest hypotension
AWTs for SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Continuous Hypotension (Outcome 3.3.4)Up to 8 hoursAWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to continuous hypotension and excluding SHEs predicted prior to earliest hypotension. NOTE: A negative AWT denotes a notification event that occurs chronologically after the onset of the SHE event. For example, an AWT of -3 would mean the first notification event occurred 3 minutes after the onset of the SHE event, although still in advance of continuous hypotension.
Percentage of Total SHEs Detected by {Index > 35%} After Continuous Hypotension Onset (Outcome 3.4.1)Up to 8 hoursPercentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) after onset of continuous hypotension
AWTs for SHEs Predicted by {Index > 35%} After Continuous Hypotension Onset (Outcome 3.4.2)Up to 8 hoursAWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) after onset of continuous hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
Percentage of Total SHEs Detected by {Index > User's Index Threshold Setting} After Continuous Hypotension Onset (Outcome 3.4.3)Up to 8 hoursPercentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) after onset of continuous hypotension
AWTs for SHEs Predicted by {Index > User's Index Threshold Setting} After Continuous Hypotension Onset (Outcome 3.4.4)Up to 8 hoursAWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) after onset of continuous hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
Percentage of Total SHEs With False Resolutions (Outcome 3.5.1)Up to 8 hoursPercentage of total SHEs with false resolutions \[i.e., MAP \>= goal transiently during SHE\]
Percentage of Total SHE False Resolutions Detected by {Index > 35%} (Outcome 3.5.2)Up to 8 hoursPercentage (%) of total SHE false resolutions with a contiguous notification event where {Index \> 35%}
Percentage of Total SHE False Resolutions Not Detected by {Index > 35%} With InOp State During False Resolution (Outcome 3.5.3)Up to 8 hoursPercentage of total SHE false resolutions that were not detected by {Index \> 35%} and had InOp state occurring during the index false resolution episode
Percentage of Total SHE False Resolutions Not Detected by {Index > 35%} Without InOp State During False Resolution (Outcome 3.5.4)Up to 8 hoursPercentage (%) of total SHE false resolutions that were not detected by {Index \> 35%} and did not have InOp state occurring during the index false resolution episode
Percentage of Total SHE False Resolutions Detected by {Index > User's Index Threshold Setting} (Outcome 3.5.5)Up to 8 hoursPercentage (%) of total SHE false resolutions with a contiguous notification event where {Index \> user's Index threshold setting}
Percentage of Total SHE False Resolutions Not Detected by {Index > User's Index Threshold Setting} With InOp State During False Resolution (Outcome 3.5.6)Up to 8 hoursPercentage (%) of total SHE false resolutions that were not detected by {Index \> user's Index threshold setting} and had InOp state occurring during the index false resolution episode
Percentage of Total SHE False Resolutions Not Detected by {Index > User's Index Threshold Setting} Without InOp State During False Resolution (Outcome 3.5.7)Up to 8 hoursPercentage (%) of total SHE false resolutions that were not detected by {Index \> user's Index threshold setting} and did not have InOp state occurring during the index false resolution episode
Incidence of Notification Events {Index > 35%} That Are Contiguous With SHEs (Outcome 3.6.1)Up to 8 hoursIncidence of notification events {Index \> 35%} that are contiguous with SHEs, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > User's Index Threshold Setting} That Are Contiguous With SHEs (Outcome 3.6.2)Up to 8 hoursIncidence of notification events {Index \> user's Index threshold setting} that are contiguous with SHEs, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > 35%} That Are Sentinel Notifications (Outcome 3.6.3)Up to 8 hoursIncidence of notification events {Index \> 35%} that are sentinel notifications \[sentinel notification is a notification event that occurs within 60 min prior to an SHE; recorded dose increase; or during stuttering hypotension (defined in 3.7.1)\], excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > User's Index Threshold Setting} That Are Sentinel Notifications (Outcome 3.6.4)Up to 8 hoursIncidence of notification events {Index \> user's Index threshold setting} that are sentinel notifications, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > 35%} That Are False Notifications (Outcome 3.6.5)Up to 8 hoursIncidence of notification events {Index \> 35%} that are false notifications (defined as notification events not contiguous with an SHE and not a sentinel notification, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > User's Index Threshold Setting} That Are False Notifications (Outcome 3.6.6)Up to 8 hoursIncidence of notification events {Index \> user's Index threshold setting} that are false notifications. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > 35%} Contiguous With an SHE False Resolution (Outcome 3.6.7)Up to 8 hoursIncidence of notification events {Index \> 35%} contiguous with an SHE false resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE False Resolution (Outcome 3.6.8)Up to 8 hoursIncidence of notification events {Index \> user's Index threshold setting} contiguous with an SHE false resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > 35%} Contiguous With an SHE True Resolution, Overall (Outcome 3.6.9)Up to 8 hoursIncidence of notification events {Index \> 35%} contiguous with an SHE true resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE True Resolution, Overall (Outcome 3.6.10)Up to 8 hoursIncidence of notification events {Index \> user's Index threshold setting} contiguous with an SHE true resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Duration of False Notification Events {Index > 35%} (Outcome 3.6.15)Up to 8 hoursMedian duration of false notification events {Index \> 35%}
Duration of False Notification Events {Index > User's Index Threshold Setting} (Outcome 3.6.16)Up to 8 hoursMedian duration of false notification events {Index \> user's Index threshold setting}
Incidence of Notification Events {Index > 35%} Contiguous With an SHE True Resolution, Suppressible (Outcome 3.6.11)Up to 8 hoursIncidence of notification events {Index \> 35%} contiguous with an SHE true resolution after excluding all notification event interval that were within 8 min of a documented clinical intervention. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE True Resolution, Suppressible (Outcome 3.6.12)Up to 8 hoursIncidence of notification events {Index \> user's Index threshold setting} contiguous with an SHE true resolution after excluding all notification event interval that were within 8 min of a documented clinical intervention. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > 35%} With Onset During an SHE (Outcome 3.6.13)Up to 8 hoursIncidence of notification events {Index \> 35%} with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Incidence of Notification Events {Index > User's Index Threshold Setting} With Onset During an SHE (Outcome 3.6.14)Up to 8 hoursIncidence of notification events {Index \> user's Index threshold setting} with onset during an SHE. \[Clarification: We are using notification events / patient-day (24h) as the Unit of Measure for several reasons. First, different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Stuttering Hypotension Incidence (Outcome 3.7.1)Up to 8 hoursStuttering hypotension incidence \[Stuttering hypotension event commences upon hypotension and with \>= 10 min of cumulative hypotension within subsequent 60 min; terminates upon next time point when onset condition is no longer met AND when MAP \>= goal; intervals that qualify as an SHE are excluded from stuttering hypotension\]. \[Clarification: We are reporting the mean events per patient-day as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]
Percentage of Total Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.2)Up to 8 hoursPercentage (%) of total stuttering hypotension episodes detected by {Index \> 35%} prior to the stuttering hypotension's first hypotension
AWTs for Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.3)Up to 8 hoursAWTs for stuttering hypotension episodes detected by {Index \> 35%} prior to the stuttering hypotension's first hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
Percentage of Total Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.4)Up to 8 hoursPercentage (%) of total stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to the stuttering hypotension's first hypotension
AWTs for Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.5)Up to 8 hoursAWTs for stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to the stuttering hypotension's first hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
Percentage of Total Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.6)Up to 8 hoursPercentage (%) of total stuttering hypotension episodes detected by {Index \> 35%} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode (excluding episodes detected prior to first hypotension)
AWTs for Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.7)Up to 8 hoursAWTs for stuttering hypotension episodes detected by {Index \> 35%} prior to 10 cumulative min of hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
Percentage of Total Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.8)Up to 8 hoursPercentage (%) of total stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode (excluding episodes detected prior to first hypotension)
Percentage of Time That the BP Forecast is Operative (Outcome 2.1)up to 8 hoursMedian percentage (%) of time, per patient, during the session when inclusion criteria were otherwise met that the BP forecast was operative (i.e., time intervals when no InOp criteria detected by the System leading to the InOp state)
Percentage of Total Stuttering Hypotension Episodes Not Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.10)Up to 8 hoursPercentage (%) of total stuttering hypotension episodes not detected by {Index \> 35%} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode
Percentage of Total Stuttering Hypotension Episodes Not Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.11)Up to 8 hoursPercentage (%) of total stuttering hypotension episodes not detected by {Index \> user's Index threshold setting} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode
AWTs for Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.9)Up to 8 hoursAWTs for stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to 10 cumulative min of hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.
Accuracy of the MAP Forecast (Outcome 2.2)Up to 8 hoursAccuracy of the future 20 min median MAP forecast (average error between the MAP forecast and the future 20 min median MAP; for purposes of computing future 20 min median MAP, MAP \< 10 mmHg and MAP \> 250 mmHg is treated as a missing number) over time intervals during the session when inclusion criteria were otherwise met; the BP forecast was operative; and the analysis window criteria were met \[at least 19 minutes remaining to the end of the record from the time of the forecast; and the analysis window has no more than 9 min of non-physiological MAP data (non-physiological MAP criteria are MAP \< 10mmHg or MAP \> 250mmHg or 'NaN')\].
Percentage of Time That the True Future 20 Min Median MAP Falls Within the Forecast Cone (Outcome 2.3)Up to 8 hoursMedian percentage (%) of time, per patient, that the true future 20 min median MAP falls within the computed forecast cone over time intervals during the session when inclusion criteria were otherwise met; the BP forecast was operative; and the analysis window criteria were met \[at least 19 minutes remaining to the end of the record from the time of the forecast; and the analysis window has no more than 9 min of non-physiological MAP data (non-physiological MAP criteria are MAP \< 10mmHg or MAP \> 250mmHg or 'NaN')\]
Percentage of Total SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Earliest Hypotension (Outcome 3.2.3)Up to 8 hoursPercentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to the SHE's earliest hypotension \[i.e., MAP \< goal\]

Countries

United States

Participant flow

Participants by arm

ArmCount
Intervention Group
The investigational system will be evaluated for safety and user acceptance in 20 patient-subjects and associated nurse-subjects VIGORIS Blood Pressure Management Clinical Decision Support System: Software system to optimize tight blood pressure management during vasopressor infusion
20
Total20

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyUnable to start software due to serial communication failure1
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicIntervention Group
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
13 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
Age, Continuous67.5 years
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
Race (NIH/OMB)
White
14 Participants
Region of Enrollment
United States
20 participants
Sex: Female, Male
Female
7 Participants
Sex: Female, Male
Male
13 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 20
other
Total, other adverse events
1 / 20
serious
Total, serious adverse events
9 / 20

Outcome results

Primary

Data Completeness

Completeness (yes/no) of flowsheet (data archive of the investigational System) without any lapses in input data from the bedside monitor during connectivity; and without lapses in associated BP forecasts.

Time frame: Up to 8 hours

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Intervention GroupData CompletenessCompleteness of flowsheet observed18 Participants
Intervention GroupData CompletenessIncompleteness of flowsheet observed0 Participants
Intervention GroupData CompletenessDid not begin protocol / no survey2 Participants
Primary

Quantitative Nurse-subject Survey Response

Nurse-subject quantitative survey response (yes/no) about any confusion or perceived inaccuracies of the system; perceived risk of patient management error; or perceived distraction that impacted care delivery

Time frame: Up to 8 hours

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Intervention GroupQuantitative Nurse-subject Survey ResponseNo confusion or perceived inaccuracies of the system13 Participants
Intervention GroupQuantitative Nurse-subject Survey ResponseAny confusion or perceived inaccuracies of the system but without perceived risk of management error4 Participants
Intervention GroupQuantitative Nurse-subject Survey ResponsePerceived risk of patient management error1 Participants
Intervention GroupQuantitative Nurse-subject Survey ResponsePerceived error or distraction that actually impacted care delivery during investigational protocol0 Participants
Intervention GroupQuantitative Nurse-subject Survey ResponseDid not begin protocol / no survey2 Participants
Primary

Software Operation (Based on Real-time Observation)

System malfunction (yes/no) observed in real-time by the Technical Observer

Time frame: Up to 8 hours

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Intervention GroupSoftware Operation (Based on Real-time Observation)System malfunction not observed18 Participants
Intervention GroupSoftware Operation (Based on Real-time Observation)System malfunction observed0 Participants
Intervention GroupSoftware Operation (Based on Real-time Observation)Did not begin protocol / no survey2 Participants
Primary

Software Operation (Based on Review of Error Logs)

Error-level and critical-level software errors in the runtime log (yes/no)

Time frame: Up to 8 hours

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Intervention GroupSoftware Operation (Based on Review of Error Logs)Errors in runtime log not observed18 Participants
Intervention GroupSoftware Operation (Based on Review of Error Logs)Errors in runtime log observed1 Participants
Intervention GroupSoftware Operation (Based on Review of Error Logs)Did not begin protocol1 Participants
Secondary

Accuracy of the MAP Forecast (Outcome 2.2)

Accuracy of the future 20 min median MAP forecast (average error between the MAP forecast and the future 20 min median MAP; for purposes of computing future 20 min median MAP, MAP \< 10 mmHg and MAP \> 250 mmHg is treated as a missing number) over time intervals during the session when inclusion criteria were otherwise met; the BP forecast was operative; and the analysis window criteria were met \[at least 19 minutes remaining to the end of the record from the time of the forecast; and the analysis window has no more than 9 min of non-physiological MAP data (non-physiological MAP criteria are MAP \< 10mmHg or MAP \> 250mmHg or 'NaN')\].

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEAN)
Intervention GroupAccuracy of the MAP Forecast (Outcome 2.2)0.2 mmHg
Secondary

Advance Warning Times (AWTs) for SHEs Predicted by {Index > 35%} Prior to Earliest Hypotension (Outcome 3.2.2)

AWTs (median) for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to the SHE's earliest hypotension \[i.e., MAP \< goal\]. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAdvance Warning Times (AWTs) for SHEs Predicted by {Index > 35%} Prior to Earliest Hypotension (Outcome 3.2.2)6.8 Minutes
Secondary

AWTs for SHEs Predicted by {Index > 35%} After Continuous Hypotension Onset (Outcome 3.4.2)

AWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) after onset of continuous hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for SHEs Predicted by {Index > 35%} After Continuous Hypotension Onset (Outcome 3.4.2)NA Minutes
Secondary

AWTs for SHEs Predicted by {Index > 35%} Prior to Continuous Hypotension (Outcome 3.3.2)

AWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to continuous hypotension and excluding SHEs predicted prior to earliest hypotension. NOTE: A negative AWT denotes a notification event that occurs chronologically after the onset of the SHE event. For example, an AWT of -3 would mean the first notification event occurred 3 minutes after the onset of the SHE event, although still in advance of continuous hypotension.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for SHEs Predicted by {Index > 35%} Prior to Continuous Hypotension (Outcome 3.3.2)-2.9 Minutes
Secondary

AWTs for SHEs Predicted by {Index > User's Index Threshold Setting} After Continuous Hypotension Onset (Outcome 3.4.4)

AWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) after onset of continuous hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for SHEs Predicted by {Index > User's Index Threshold Setting} After Continuous Hypotension Onset (Outcome 3.4.4)NA Minutes
Secondary

AWTs for SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Continuous Hypotension (Outcome 3.3.4)

AWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to continuous hypotension and excluding SHEs predicted prior to earliest hypotension. NOTE: A negative AWT denotes a notification event that occurs chronologically after the onset of the SHE event. For example, an AWT of -3 would mean the first notification event occurred 3 minutes after the onset of the SHE event, although still in advance of continuous hypotension.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Continuous Hypotension (Outcome 3.3.4)-3.8 Minutes
Secondary

AWTs for SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Earliest Hypotension (Outcome 3.2.4)

AWTs for SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to the SHE's earliest hypotension \[i.e., MAP \< goal\]. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Earliest Hypotension (Outcome 3.2.4)6.8 Minutes
Secondary

AWTs for Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.7)

AWTs for stuttering hypotension episodes detected by {Index \> 35%} prior to 10 cumulative min of hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.7)-8.0 Minutes
Secondary

AWTs for Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.3)

AWTs for stuttering hypotension episodes detected by {Index \> 35%} prior to the stuttering hypotension's first hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.3)1.3 Minutes
Secondary

AWTs for Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.9)

AWTs for stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to 10 cumulative min of hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.9)-8.0 Minutes
Secondary

AWTs for Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.5)

AWTs for stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to the stuttering hypotension's first hypotension. NOTE: A positive AWT denotes a notification event that occurs chronologically in advance of the onset of the SHE event. For example, an AWT of +3 would mean the first notification event occurred 3 minutes before the onset of the SHE event.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupAWTs for Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.5)1.3 Minutes
Secondary

Duration of False Notification Events {Index > 35%} (Outcome 3.6.15)

Median duration of false notification events {Index \> 35%}

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupDuration of False Notification Events {Index > 35%} (Outcome 3.6.15)3.8 Minutes
Secondary

Duration of False Notification Events {Index > User's Index Threshold Setting} (Outcome 3.6.16)

Median duration of false notification events {Index \> user's Index threshold setting}

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupDuration of False Notification Events {Index > User's Index Threshold Setting} (Outcome 3.6.16)3.8 Minutes
Secondary

Incidence of Notification Events {Index > 35%} Contiguous With an SHE False Resolution (Outcome 3.6.7)

Incidence of notification events {Index \> 35%} contiguous with an SHE false resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > 35%} Contiguous With an SHE False Resolution (Outcome 3.6.7)3.2 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > 35%} Contiguous With an SHE True Resolution, Overall (Outcome 3.6.9)

Incidence of notification events {Index \> 35%} contiguous with an SHE true resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > 35%} Contiguous With an SHE True Resolution, Overall (Outcome 3.6.9)3.6 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > 35%} Contiguous With an SHE True Resolution, Suppressible (Outcome 3.6.11)

Incidence of notification events {Index \> 35%} contiguous with an SHE true resolution after excluding all notification event interval that were within 8 min of a documented clinical intervention. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > 35%} Contiguous With an SHE True Resolution, Suppressible (Outcome 3.6.11)0.7 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > 35%} That Are Contiguous With SHEs (Outcome 3.6.1)

Incidence of notification events {Index \> 35%} that are contiguous with SHEs, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > 35%} That Are Contiguous With SHEs (Outcome 3.6.1)2.3 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > 35%} That Are False Notifications (Outcome 3.6.5)

Incidence of notification events {Index \> 35%} that are false notifications (defined as notification events not contiguous with an SHE and not a sentinel notification, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > 35%} That Are False Notifications (Outcome 3.6.5)10.0 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > 35%} That Are Sentinel Notifications (Outcome 3.6.3)

Incidence of notification events {Index \> 35%} that are sentinel notifications \[sentinel notification is a notification event that occurs within 60 min prior to an SHE; recorded dose increase; or during stuttering hypotension (defined in 3.7.1)\], excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > 35%} That Are Sentinel Notifications (Outcome 3.6.3)7.8 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > 35%} With Onset During an SHE (Outcome 3.6.13)

Incidence of notification events {Index \> 35%} with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > 35%} With Onset During an SHE (Outcome 3.6.13)1.3 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE False Resolution (Outcome 3.6.8)

Incidence of notification events {Index \> user's Index threshold setting} contiguous with an SHE false resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE False Resolution (Outcome 3.6.8)3.6 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE True Resolution, Overall (Outcome 3.6.10)

Incidence of notification events {Index \> user's Index threshold setting} contiguous with an SHE true resolution. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE True Resolution, Overall (Outcome 3.6.10)3.6 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE True Resolution, Suppressible (Outcome 3.6.12)

Incidence of notification events {Index \> user's Index threshold setting} contiguous with an SHE true resolution after excluding all notification event interval that were within 8 min of a documented clinical intervention. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > User's Index Threshold Setting} Contiguous With an SHE True Resolution, Suppressible (Outcome 3.6.12)0.7 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > User's Index Threshold Setting} That Are Contiguous With SHEs (Outcome 3.6.2)

Incidence of notification events {Index \> user's Index threshold setting} that are contiguous with SHEs, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > User's Index Threshold Setting} That Are Contiguous With SHEs (Outcome 3.6.2)2.3 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > User's Index Threshold Setting} That Are False Notifications (Outcome 3.6.6)

Incidence of notification events {Index \> user's Index threshold setting} that are false notifications. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > User's Index Threshold Setting} That Are False Notifications (Outcome 3.6.6)10.7 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > User's Index Threshold Setting} That Are Sentinel Notifications (Outcome 3.6.4)

Incidence of notification events {Index \> user's Index threshold setting} that are sentinel notifications, excluding notification events with onset during an SHE. \[Clarification: We are reporting the mean notification events / patient-day (24h) as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > User's Index Threshold Setting} That Are Sentinel Notifications (Outcome 3.6.4)7.1 Notification events / patient-day (24h)
Secondary

Incidence of Notification Events {Index > User's Index Threshold Setting} With Onset During an SHE (Outcome 3.6.14)

Incidence of notification events {Index \> user's Index threshold setting} with onset during an SHE. \[Clarification: We are using notification events / patient-day (24h) as the Unit of Measure for several reasons. First, different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupIncidence of Notification Events {Index > User's Index Threshold Setting} With Onset During an SHE (Outcome 3.6.14)1.3 Notification events / patient-day (24h)
Secondary

Percentage of Time That the BP Forecast is Operative (Outcome 2.1)

Median percentage (%) of time, per patient, during the session when inclusion criteria were otherwise met that the BP forecast was operative (i.e., time intervals when no InOp criteria detected by the System leading to the InOp state)

Time frame: up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupPercentage of Time That the BP Forecast is Operative (Outcome 2.1)89.3 Percentage of time
Secondary

Percentage of Time That the True Future 20 Min Median MAP Falls Within the Forecast Cone (Outcome 2.3)

Median percentage (%) of time, per patient, that the true future 20 min median MAP falls within the computed forecast cone over time intervals during the session when inclusion criteria were otherwise met; the BP forecast was operative; and the analysis window criteria were met \[at least 19 minutes remaining to the end of the record from the time of the forecast; and the analysis window has no more than 9 min of non-physiological MAP data (non-physiological MAP criteria are MAP \< 10mmHg or MAP \> 250mmHg or 'NaN')\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (MEDIAN)
Intervention GroupPercentage of Time That the True Future 20 Min Median MAP Falls Within the Forecast Cone (Outcome 2.3)99.4 Percentage of time
Secondary

Percentage of Total SHE False Resolutions Detected by {Index > 35%} (Outcome 3.5.2)

Percentage (%) of total SHE false resolutions with a contiguous notification event where {Index \> 35%}

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHE False Resolutions Detected by {Index > 35%} (Outcome 3.5.2)96.3 Percentage of total false resolutions
Secondary

Percentage of Total SHE False Resolutions Detected by {Index > User's Index Threshold Setting} (Outcome 3.5.5)

Percentage (%) of total SHE false resolutions with a contiguous notification event where {Index \> user's Index threshold setting}

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHE False Resolutions Detected by {Index > User's Index Threshold Setting} (Outcome 3.5.5)95.2 Percentage of total false resolutions
Secondary

Percentage of Total SHE False Resolutions Not Detected by {Index > 35%} With InOp State During False Resolution (Outcome 3.5.3)

Percentage of total SHE false resolutions that were not detected by {Index \> 35%} and had InOp state occurring during the index false resolution episode

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHE False Resolutions Not Detected by {Index > 35%} With InOp State During False Resolution (Outcome 3.5.3)0.3 Percentage of total false resolutions
Secondary

Percentage of Total SHE False Resolutions Not Detected by {Index > 35%} Without InOp State During False Resolution (Outcome 3.5.4)

Percentage (%) of total SHE false resolutions that were not detected by {Index \> 35%} and did not have InOp state occurring during the index false resolution episode

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHE False Resolutions Not Detected by {Index > 35%} Without InOp State During False Resolution (Outcome 3.5.4)3.4 Percentage of total false resolutions
Secondary

Percentage of Total SHE False Resolutions Not Detected by {Index > User's Index Threshold Setting} With InOp State During False Resolution (Outcome 3.5.6)

Percentage (%) of total SHE false resolutions that were not detected by {Index \> user's Index threshold setting} and had InOp state occurring during the index false resolution episode

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHE False Resolutions Not Detected by {Index > User's Index Threshold Setting} With InOp State During False Resolution (Outcome 3.5.6)0.3 Percentage of total false resolutions
Secondary

Percentage of Total SHE False Resolutions Not Detected by {Index > User's Index Threshold Setting} Without InOp State During False Resolution (Outcome 3.5.7)

Percentage (%) of total SHE false resolutions that were not detected by {Index \> user's Index threshold setting} and did not have InOp state occurring during the index false resolution episode

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHE False Resolutions Not Detected by {Index > User's Index Threshold Setting} Without InOp State During False Resolution (Outcome 3.5.7)4.5 Percentage of total false resolutions
Secondary

Percentage of Total SHEs Detected by {Index > 35%} After Continuous Hypotension Onset (Outcome 3.4.1)

Percentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) after onset of continuous hypotension

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHEs Detected by {Index > 35%} After Continuous Hypotension Onset (Outcome 3.4.1)0.0 Percentage of total SHE events
Secondary

Percentage of Total SHEs Detected by {Index > User's Index Threshold Setting} After Continuous Hypotension Onset (Outcome 3.4.3)

Percentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) after onset of continuous hypotension

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHEs Detected by {Index > User's Index Threshold Setting} After Continuous Hypotension Onset (Outcome 3.4.3)0.0 Percentage of total SHE events
Secondary

Percentage of Total SHEs Predicted by {Index > 35%} Prior to Continuous Hypotension (Outcome 3.3.1)

Percentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to continuous hypotension \[intervals of ≥ 10 minutes of physiological MAP continuously below the hypotension threshold (physiological MAP are samples that do not meet the non-physiological criteria)\]. NOTE: excluding SHEs predicted prior to earliest hypotension

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHEs Predicted by {Index > 35%} Prior to Continuous Hypotension (Outcome 3.3.1)30.8 Percentage of total SHE events
Secondary

Percentage of Total SHEs Predicted by {Index > 35%} Prior to Earliest Hypotension (Outcome 3.2.1)

Percentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> 35%) prior to the SHE's earliest hypotension \[hypotension is defined as MAP \< goal, with the exclusion of MAP \< 10 mmHg, which is treated as a missing number\]. Notification events are intervals that begin when there is an Index value that meets the notification criteria and terminate when there is an Index value output that does not meet the notification criteria.

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHEs Predicted by {Index > 35%} Prior to Earliest Hypotension (Outcome 3.2.1)69.2 Percentage of total SHE events
Secondary

Percentage of Total SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Continuous Hypotension (Outcome 3.3.3)

Percentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to continuous hypotension \[intervals of ≥ 10 minutes of physiological MAP continuously below the hypotension threshold (physiological MAP are samples that do not meet the non-physiological criteria)\]. NOTE: excluding SHEs predicted prior to earliest hypotension

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Continuous Hypotension (Outcome 3.3.3)30.8 Percentage of total SHE events
Secondary

Percentage of Total SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Earliest Hypotension (Outcome 3.2.3)

Percentage (%) of total SHEs predicted by an SHE-contiguous notification event (i.e., Index \> user's Index threshold setting) prior to the SHE's earliest hypotension \[i.e., MAP \< goal\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHEs Predicted by {Index > User's Index Threshold Setting} Prior to Earliest Hypotension (Outcome 3.2.3)69.2 Percentage of total SHE events
Secondary

Percentage of Total SHEs With False Resolutions (Outcome 3.5.1)

Percentage of total SHEs with false resolutions \[i.e., MAP \>= goal transiently during SHE\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total SHEs With False Resolutions (Outcome 3.5.1)100.0 Percentage of total SHE events
Secondary

Percentage of Total Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.6)

Percentage (%) of total stuttering hypotension episodes detected by {Index \> 35%} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode (excluding episodes detected prior to first hypotension)

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.6)60.0 Percentage of total stuttering events
Secondary

Percentage of Total Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.2)

Percentage (%) of total stuttering hypotension episodes detected by {Index \> 35%} prior to the stuttering hypotension's first hypotension

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total Stuttering Hypotension Episodes Detected by {Index > 35%} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.2)40.0 Percentage of total stuttering events
Secondary

Percentage of Total Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.8)

Percentage (%) of total stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode (excluding episodes detected prior to first hypotension)

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.8)60.0 Percentage of total stuttering events
Secondary

Percentage of Total Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.4)

Percentage (%) of total stuttering hypotension episodes detected by {Index \> user's Index threshold setting} prior to the stuttering hypotension's first hypotension

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total Stuttering Hypotension Episodes Detected by {Index > User's Index Threshold Setting} Prior to the Stuttering Hypotension's First Hypotension (Outcome 3.7.4)40.0 Percentage of total stuttering events
Secondary

Percentage of Total Stuttering Hypotension Episodes Not Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.10)

Percentage (%) of total stuttering hypotension episodes not detected by {Index \> 35%} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total Stuttering Hypotension Episodes Not Detected by {Index > 35%} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.10)0.0 Percentage of total stuttering events
Secondary

Percentage of Total Stuttering Hypotension Episodes Not Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.11)

Percentage (%) of total stuttering hypotension episodes not detected by {Index \> user's Index threshold setting} prior to the occurrence of 10 cumulative minutes of hypotension within that stuttering hypotension episode

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupPercentage of Total Stuttering Hypotension Episodes Not Detected by {Index > User's Index Threshold Setting} Prior to 10 Cumulative Min of Hypotension (Outcome 3.7.11)0.0 Percentage of total stuttering events
Secondary

SHE Incidence (Outcome 3.1)

SHE incidence per 24 hrs \[Sustained hypotensive event SHE is any interval commencing upon MAP \< goal & 20-min future median MAP is also \< goal; terminating upon time point when MAP \>= goal and & 20-min future median MAP \>= goal; SHEs occurring sequentially within 10 min are merged; any remaining SHEs not persisting at least 10 min are excluded\]. \[Clarification: We are reporting the mean events per patient-day as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupSHE Incidence (Outcome 3.1)4.2 Events per patient-day (24 hours)
Secondary

Stuttering Hypotension Incidence (Outcome 3.7.1)

Stuttering hypotension incidence \[Stuttering hypotension event commences upon hypotension and with \>= 10 min of cumulative hypotension within subsequent 60 min; terminates upon next time point when onset condition is no longer met AND when MAP \>= goal; intervals that qualify as an SHE are excluded from stuttering hypotension\]. \[Clarification: We are reporting the mean events per patient-day as the Unit of Measure. Different subjects were observed for different intervals of time, with a maximum 8 hours specified in the protocol. Because subjects were observed for different time intervals, it is helpful to standardize findings as events per unit of time. Standardizing the events to units of time allows for valid inter-subject comparison when subjects have differing observation intervals. Next, events per DAY is a conventional Unit of Measurement that is both valid and easy to interpret, even though subjects were not observed for an entire day.\]

Time frame: Up to 8 hours

Population: Out of the 20 total patient-subjects, 2 subjects did not begin the protocol which leaves n=18 for the analysis population.

ArmMeasureValue (NUMBER)
Intervention GroupStuttering Hypotension Incidence (Outcome 3.7.1)3.2 Events per patient-day (24 hours)

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026