基于机器学习的围术期老年患者动态风险评估与预测体系研究

注册号:

Registration number:

ChiCTR1900025160 

最近更新日期:

Date of Last Refreshed on:

2020-07-08 21:48:24 

注册时间:

Date of Registration:

2019-08-15 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于机器学习的围术期老年患者动态风险评估与预测体系研究

Public title:

Study for Machine-Learning Based Perioperative Risk Assessment and Prediction System for geriatric patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于机器学习的围术期老年患者动态风险评估与预测体系研究

Scientific title:

Study for Machine-Learning Based Perioperative Risk Assessment and Prediction System for geriatric patients

研究课题代号(代码):

Study subject ID:

国家重点研发计划(2018YFC2001800)

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

李林佶 

研究负责人:

朱涛 

Applicant:

Linji Li 

Study leader:

Tao Zhu 

申请注册联系人电话:

Applicant telephone:

+86 15583009555

研究负责人电话:

Study leader's
telephone:

+86 18980601552

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

17263828@qq.com

研究负责人电子邮件:

Study leader's E-mail:

xwtao_zhu@sina.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

四川省成都市武侯区国学巷37号

研究负责人通讯地址:

四川省成都市武侯区国学巷37号

Applicant address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, China

Study leader's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

四川大学华西医院

Applicant's institution:

West China Hospital, Sichuan University

研究负责人所在单位:

四川大学华西医院

Affiliation of the Leader:

West China Hospital, Sichuan University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2019年审(473)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

四川大学华西医院生物医学伦理委员会

Name of the ethic committee:

The ethical committees of West China Hospital of Sichuan University

伦理委员会批准日期:

Date of approved by ethic committee:

2019-07-18 00:00:00

伦理委员会联系人:

刘伦旭

Contact Name of the ethic committee:

Lunxu Liu

伦理委员会联系地址:

四川省成都市武侯区国学巷37号四川大学华西医院老八教四楼412室

Contact Address of the ethic committee:

Room 412, Old 8th Teaching Building, West China Hospital, Sichuan University, 37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

四川大学华西医院

Primary sponsor:

West China Hospital, Sichuan University

研究实施负责(组长)单位地址:

四川省成都市武侯区国学巷37号

Primary sponsor's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

重庆市

市(区县):

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆医科大学附属第二医院

具体地址:

重庆市渝中区临江路74号

Institution
hospital:

The Second Affiliated Hospital of Chongqing Medical University

Address:

74 Linjiang Road, Chongqing

国家:

中国

省(直辖市):

广东

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

广东省人民医院

具体地址:

广东省广州市中山二路106号

Institution
hospital:

Guangdong Provincial People's Hospital

Address:

106 Second Zhongshan Road, Guangzhou, Guangdong

国家:

中国

省(直辖市):

湖南

市(区县):

Country:

China

Province:

Hu'nan

City:

单位(医院):

中南大学湘雅医院

具体地址:

湖南长沙市湘雅路87号

Institution
hospital:

Xiangya Hospital of Central South University

Address:

87 Xiangya Road, Changsha, Hunan,

经费或物资来源:

国家重点研发计划(2018YFC2001800)

Source(s) of funding:

National Key R&D Program of China (2018YFC2001800)

研究疾病:

围术期风险评估  

Target disease:

Perioperative Risk Assessment

研究疾病代码:

Target disease code:

研究类型:

诊断试验

Study type:

Diagnostic test

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

连续入组 

Study design:

Sequential 

研究目的:

聚焦围术期死亡、主要心血管不良时间、谵妄等危险事件,建立适用于中国老年人群的围术期风险评估方法和危险事件预测模型。  

Objectives of Study:

Focusing on perioperative death, major cardiovascular adverse time, delirium and other dangerous events, the perioperative risk assessment method and risk event prediction model suitable for Chinese geriatric population were established.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

术前评估资料无法获取的患者,如严重创伤大出血急诊患者等;DCD供体患者;肝肾等器官移植受体。

Exclusion criteria:

Patients with inaccessible preoperative assessment data, such as emergency patients with severe traumatic hemorrhage, DCD donors, liver and kidney transplant recipients, etc

研究实施时间:

Study execute time:

From 2019-08-05 00:00:00 To 2022-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2019-08-05 00:00:00 To 2021-08-31 00:00:00

诊断试验:

Diagnostic Tests:

金标准或参考标准(即可准确诊断某疾病的单项方法或多项联合方法,在本研究中用于诊断是否有该病的临床参考标准):

临床结局

Gold Standard or Reference Standard (The clinical reference standards required to establish the presence or absence of the target condition in the tested population in present study):

Clinical outcomes

指标试验(即本研究的待评估诊断试验,无论为方法、生物标志物或设备,均请列出名称):

围术期风险评估方法和危险事件预测模型

Index test:

perioperative risk assessment method and risk event prediction model

目标人群(可以是某种疾病患者或正常人群,详细描述其疾病特征,注意应纳入符合分布特点的全序列病例,具有良好的代表性)

拟全身麻醉下行外科手术的老年患者

例数:

Sample size:

8000

Target condition (The target condition is a particular disease or disease stage that the index test will be intended to identify. Please specify the characteristics in detail; the population should has a complete spectrum and good representative):

geriatric patients who plan to undergo surgery under general anesthesia

容易混淆的疾病人群(即与目标疾病不易区分的一种或多种不同疾病,应避免采用正常人群对照的病例-对照设计):

例数:

Sample size:

0

Population with condition difficult to distinguish from the target condition, the normal population in a case-control study design should be avoid:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

四川大学华西医院 

单位级别:

三级甲等 

Institution
hospital:

West China Hospital, Sichuan University

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

死亡

指标类型:

主要指标

Outcome:

death

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ICU停留时间>24h

指标类型:

主要指标

Outcome:

ICU stay time>24h

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心肌梗死

指标类型:

主要指标

Outcome:

Myocardial infarction

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心跳骤停

指标类型:

主要指标

Outcome:

Cardiac arrest

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后肺部并发症

指标类型:

主要指标

Outcome:

postoperative pulmonary complications

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心力衰竭

指标类型:

主要指标

Outcome:

Heart failure

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

谵妄

指标类型:

主要指标

Outcome:

Delirium

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

急性肾损伤

指标类型:

主要指标

Outcome:

Acute renal injury

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中重度疼痛

指标类型:

主要指标

Outcome:

Moderate to severe pain

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

本研究不涉及人体标本

组织:

Sample Name:

No

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 65 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

N/A

Randomization Procedure (please state who generates the random number sequence and by what method):

N/A

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Open label

Blinding:

Open label

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

论文发表

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

research articles

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

本研究拟纳入2019年8月-2021年12月期间接受外科手术治疗的大样本老年手术者数据。本项目数据提取申请已通过医院伦理委员会审核,手术者术前评估及术后随访数据由经过培训的麻醉住院医师负责采集,并经专用APP录入提交。术中手术麻醉系统数据由华西医院大数据中心负责提取。所有数据均存放在华西生物大数据中心内网或四川大学大数据中心内网上,并经加密传输至国家卫健委相关网站。在医院和学校大数据中心周密监督管理之下,可保障数据的安全性和保密性。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

This study intends to include data on a large sample of surgically treated geriatric patients between August,2019 and December,2021.The pre-project data extraction application has been approved by the Hospital Ethics Committee. The preoperative evaluation and postoperative follow-up data of the patients will be collected by trained anesthesiologists and submitted by a specially designed APP. The data of intraoperative situation will be extracted by the big data center of West China Hospital.all the data will be stored on the intranet of the West China Biologica Big Data Center or Sichuan University Big Data Center for management and transmitted to the relevant websites of the National Health and Health Commission by encryption. Under the careful supervision and management of the hospital, the information center and the big data center, the security and confidentiality of the data can be guaranteed.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2019-08-15 17:07:02