Adult Hospital Patients at Risk of Adverse Outcomes
Conditions
Brief summary
An integrated database of depersonalised routine hospital patient data consisting of demographic and disease attributes, physiological or laboratory measurements, care contacts and interventions along with associated clinical outcomes. The database is an essential resource for the development and testing of risk models and classification systems, modified as necessary for patient subgroups, which can then be introduced into clinical care to improve patient outcomes. It can also be used for large scale simulations to evaluate interventions.
Detailed description
The aims and objectives of this database of depersonalised routinely collected hospital patient data are to: * Conduct epidemiological and observational studies of acute hospital care. * Develop and use algorithms and risk models to identify the deteriorating / sick adult so that interventions and enhanced care can be provided in a timelier manner with consequent resource and outcome improvements. This covers both the deteriorating inpatient at risk of adverse outcomes and people in the local community at risk of hospitalisation or in need of other health services. * Retrospectively evaluate interventions e.g. impact of system-wide clinical pathway introduction * Conduct simulations of clinical pathways
Interventions
None listed
Sponsors
Portsmouth Hospitals NHS Trust
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Inclusion criteria
* Adult presenting at the acute hospital or receiving services from the hospital
Exclusion criteria
* Adults who have registered an opt out of research with National Health Service (NHS) Digital * Adults who have contacted the hospital to ask that their records are not to be included in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In-hospital death | At 24 hours after an observation assessment or physiological measurement | Death during hospital admission |
| Unanticipated ICU admission | At 24 hours after an observation assessment or physiological measurement | Unanticipated ICU admission during hospital stay |
| Cardiac arrest | At 24 hours after an observation assessment or physiological measurement | Cardiac arrest during hospital stay |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diagnosis of Corona Virus Disease (COVID) infection | 48 hours after presentation | Diagnosis of COVID-19 |
| Detection of Acute Organ Dysfunction | 24 hours after presentation | Detection of acute organ dysfunction as measured by components of the Sequential Organ Failure Assessment (SOFA) Score |
Countries
United Kingdom
Contacts
CONTACTPaul Meredith, PhD
CONTACTAlice Mortlock, PhD
PRINCIPAL_INVESTIGATORPaul E Schmidt, MRCP
Portsmouth Hospitals NHS Trust
Outcome results
None listed