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NCT06121661PHASE1Recruiting

APPRAISE 2.0: Live Trial of the APPRAISE Trauma Decision Support System

Andrew Tomas Reisner

Start Date

2/21/2023

Completion Date

12/14/2028

Summary

This is a pilot evaluation of the APPRAISE trauma decision-support software system ("the System"). The specific objections are as follows: 1. Evaluate the robustness of the System (i.e., whether the software performs in real-time in accordance with a priori technical specifications during real-time clinical use); 2. Evaluate whether the real-time display of the System causes distraction or confusion to clinicians treating the trauma patient such that its risks exceed its benefits; 3. Collect pilot data to allow for a statistical power analysis to design a future clinical trial evaluating efficacy.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Adult (≥18 yrs) Emergency Department (ED) patient * Triaged to the "Acute" area of the ED. (The "Acute" area is the designated area for ED patients with potential or established critical illness. Triage to Acute is a routine ED operation that is performed based on departmental guidelines and the professional judgement of an experienced triage nurse). * Clinical concern for acute injury (based on either an explicitly chief complaint of acute injury, or clinical team with documented concern for acute injury as a relevant part of patient presentation). Exclusion Criteria: * Prisoners * Patients known to be pregnant, based on patient report, physical exam, or bedside ultrasound * Patients wearing an "EFIC Opt-Out" bracelet * Any concern about the suitability of the software system for a specific patient by any clinician involved in the patient's ED care, or by the patient themselves (or by any LAR \[lawfully authorized representative\] of the patient).

Interventions

DEVICE

APPRAISE Trauma Clinical Decision Support System

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Conditions

Wounds and Injuries

Locations

Massachusetts General Hospital

Boston, Massachusetts 02460

United States