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NCT02766166RecruitingAccepts Healthy Volunteers

Critical Health Assessment and Outcomes Score/Study

Johns Hopkins University

Start Date

9/1/2019

Completion Date

9/1/2027

Summary

CHAOS is based on the investigator's new and exciting results from pre-clinical and large longitudinal multi-center observational clinical studies of critically ill patients and asymptomatic community-based adults with little or no advanced disease. By integrating approaches from the physical, biological, computational, statistical and clinical sciences, this observational study will test the hypothesis that early diagnosis of subclinical signatures of critical illness encoded within physiological signals complements conventional clinical predictors by providing unique prognostic insight. The primary goal is to reduce mortality, morbidity and complications by early identification of individuals with brewing subclinical critical illness and adverse events before overt clinical presentation (e.g., cardiac arrest, arrhythmias, hemorrhage, respiratory failure, circulatory collapse). This will provide the necessary lead time for healthcare providers to deliver early, more effective and/or preventive therapies. Through innovative approaches, CHAOS also meets the challenge of medical errors to reduce missed diagnosis, misdiagnosis, preventable harm and variability in provider adherence to best practice guidelines. The goal is to validate predictive algorithms and identify subclinical signatures of illness, ranging from asymptomatic adults in the community to very sick patients in the hospital. The overall goal is to make healthcare more precise, effective, efficient, safe and timely while reducing costs, preventable harms and adverse events.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * All patients age 18-100 years admitted to a bed or OR with telemetry monitoring capability will be included. Exclusion Criteria: * Children (individuals \<18 years of age).

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Conditions

Critical IllnessDeath, Sudden

Locations

Indiana University

Indianapolis, Indiana 46202

United States

Johns Hopkins University

Baltimore, Maryland 21205

United States

University of Cincinnati

Cincinnati, Ohio 45267-0542

United States