Prospective Evaluation of Sepsis Prediction Algorithms in a Multi-Hospital Healthcare System
Emory University
Summary
Sepsis is a severe response to infection resulting in organ dysfunction and often leading to death. More than 1.5 million people get sepsis every year in the U.S., and 270,000 Americans die from sepsis annually. Delays in the diagnosis of sepsis lead to increased mortality. Several clinical decision support algorithms exist for the early identification of sepsis. The research team will compare the performance of three sepsis prediction algorithms to identify the algorithm that is most accurate and clinically actionable. The algorithms will run in the background of the electronic health record (EHR) and the predictions will not be revealed to patients or clinical staff. In this current evaluation study, the algorithms will not affect any part of a patient's care. The algorithms will be deployed across the Emory healthcare system on data from all patients presenting to the emergency department.
Description
The primary goal of this study is to prospectively evaluate three sepsis prediction algorithms that are embedded in the EHR. The models will be deployed in a "shadow" mode, and the results will not be displayed to the treatment team during this study. Two of the algorithms are proprietary algorithms of the EHR provider (Epic). The third algorithm is an internally developed, open-source algorithm. The algorithms will compute the probability of sepsis at periodic intervals and will continue to run on a patient's data until the patient's discharge, death, or upon initiation of intravenous antibi…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * All adult patients admitted through the ED Exclusion Criteria: * None
Interventions
- OtherEpic Sepsis Model Version - 1
The Epic Sepsis Model (ESM) version 1, a proprietary sepsis prediction model.
- OtherEpic Sepsis Model Version - 2
The Epic Sepsis Model (ESM) version 2, a proprietary sepsis prediction model.
- OtherEmory Sepsis Model
Emory internal algorithm
Locations (7)
- Emory Midtown HospitalAtlanta, Georgia
- Emory Saint Joseph's HospitalAtlanta, Georgia
- Emory Healthcare SystemAtlanta, Georgia
- Emory HospitalAtlanta, Georgia
- Emory Decatur HospitalDecatur, Georgia
- Emory Johns Creek HospitalJohns Creek, Georgia