About this trial
Important information related to the visual assessment of patients, such as facial expressions, head and extremity movements, posture, and mobility are captured sporadically by overburdened nurses, or are not captured at all. Consequently, these important visual cues, although associated with critical indices such as physical functioning, pain, delirious state, and impending clinical deterioration, often cannot be incorporated into clinical status. The overall objectives of this project are to sense, quantify, and communicate patients' clinical conditions in an autonomous and precise manner, and develop a pervasive intelligent sensing system that combines deep learning algorithms with continuous data from inertial, color, and depth image sensors for autonomous visual assessment of critically ill patients. The central hypothesis is that deep learning models will be superior to existing acuity clinical scores by predicting acuity in a dynamic, precise, and interpretable manner, using autonomous assessment of pain, emotional distress, and physical function, together with clinical and physiologic data.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
aged 18 or older
admitted to UF Health Shands Gainesville ICU ward
expected to remain in ICU ward for at least 24 hours at time of screening
Disqualifiers
under the age of 18
on any contact/isolation precautions
expected to transfer or discharge from the ICU in 24 hours or less
unable to provide self-consent or has no available proxy/LAR
Trial population
Critically ill adults, aged 18 and over, admitted to UF Health Shands Gainesville ICU wards
Trial design
Case-only
Prospective
Treatments tested in this trial
Video Monitoring
Other interventioncontinuous video monitoring
Accelerometer Monitoring
Other interventioncontinuous accelerometer monitoring of patient movements
Noise Level Monitoring
Other interventioncontinuous environmental noise monitoring
Light Level Monitoring
Other interventioncontinuous environmental light monitoring
Air Quality Monitoring
Other interventioncontinuous environmental air quality monitoring
EKG Monitoring
Other interventioncontinuous EKG monitoring
Vitals Monitoring
Other interventioncontinuous vitals monitoring (heart rate, oxygen saturation)
Biosample Collection
Other interventionblood and urine samples collected once on Day 1 and once on Day 2
Delirium Motor Subtyping Scale 4 (DMSS-4)
Other interventiondone daily on delirious patients to subtype delirium
Treatment groups
Trial outcomes
Primary outcomes
Algorithmic Activity Labeling
The algorithm's output will report on which activity the patient is performing in the corresponding image data.
Algorithmic Pain Labeling
The algorithm's output will report on whether the patient is experiencing pain in the corresponding image data.
Decibel Levels
Determine relative decibel (noise loudness) levels in study patient's ICU room to alert for abnormalities in decibel level (noisiness of environment).
Lux Levels
Determine relative lux (light illumination) levels in study patient's ICU room to alert for abnormalities in illumination level.
Secondary outcomes
Mortality
Status of alive or deceased
Sponsors and contacts
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University of Florida
Lead sponsor
National Institute of Neurological Disorders and Stroke (NINDS)
Collaborator
National Institute for Biomedical Imaging and Bioengineering (NIBIB)
Collaborator