About this trial
Evaluating the impact of a machine-learning clinical decision support tool on provider practice when evaluating febrile patients with Kawasaki Disease (KD) and non-KD illnesses.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Measured or subjective fever for >= 3 calendar days
One measured fever >= 38.0 C (home or in ED)
Rash
Conjunctival injection
Disqualifiers
Congenital or Acquired Immune function
Genetic disorders
Current systemic steroid, immunosuppression, or chemotherapy treatment (not including inhaled steroids)
Trial design
Parallel
Treatments tested in this trial
Kawasaki MATCH
Other interventionProviders access the Kawasaki MATCH decision support tool. Patient information is entered into the tool and a risk score is indicated to the provider. Kawasaki MATCH is a previously validated machine-learning decision support tool for the diagnosis of Kawasaki Disease. This tool utilizes patient age, 18 laboratory features, and 5 clinical features to formulate a risk score.
Treatment groups
Trial outcomes
Primary outcomes
Time to Kawasaki Disease treatment (KD patients only)
Time in days from initial ED evaluation to initial IVIG treatment in patients ultimately diagnosed with Kawasaki Disease
Secondary outcomes
Kawasaki MATCH score
MATCH score determined by entering patient clinical and laboratory information into the Kawasaki MATCH algorithm. Algorithm output is a decimal between 0 and 1. Scores less than 0.4 will be deemed a prediction of "not Kawasaki Disease" while scores of 0.4 or higher will be deemed "Kawasaki Disease"
Hospital Admission Rate
Proportion of patients admitted to the hospital from the Emergency Department (ED). Admitted patients = 1 Discharged patients = 0
Kawasaki Disease consultation rate
Proportion of patients receiving Kawasaki service consultation
ED return visit
Return to Emergency Department
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of California, San Diego
Lead sponsor
Gordon and Marilyn Macklin Foundation
Collaborator
Rady Children's Hospital, San Diego
Collaborator