Research on the Development and Validation of an Early Prediction Model for Delirium

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorRuijin Hospital

About this trial

Delirium has a high incidence rate and significantly affects patient prognosis. Diagnosis often relies on manual assessment, which is subject to strong subjectivity, high rates of missed diagnosis, and poor stability. This study employs non-contact identification technology based on machine vision analysis to quantitatively analyze characteristic biological feature data such as micro-expressions. It then investigates the correlation between these features and delirium subtypes. By integrating clinical phenotypic data and using machine learning algorithms, a multi-modal early prediction model for delirium is constructed to meet the clinical need for early warning of delirium subtypes and enhance the efficacy of delirium identification.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years, expected ICU stay ≥ 24 hours, and informed consent to participate in this study;

Disqualifiers

Patients with severe facial trauma/deformities that prevent complete expression acquisition, and patients with a history of emotional problems (such as anxiety, depression, etc.).

Trial population

Adult patients (≥18 years old) admitted to the ICU of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, including elderly patients, those post-surgery, with sepsis, and trauma, which are common high-risk populations for delirium.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

795 Participants
are grouped into 2 trial groups
Group A: observational
Group B: control

Trial outcomes

Primary outcomes

1

Number of participants with delirium as assessed by DSM-5

Zero is equivalent to no delirium and a high score means a higher occurrence of delirium

Time frame
7th day after ICU admission

Secondary outcomes

1

Accuracy

Zero is equivalent to the minimum accuracy, while a value of 1 represents perfect accuracy

Time frame
7th day after ICU admission
2

Precision

The proportion of truly positive samples among those predicted as positive; the closer the score is to 1, the higher the precision

Time frame
7th day after ICU admission
3

Recall

The proportion of truly positive samples that are correctly predicted; the closer the score is to 1, the higher the diagnostic sensitivity

Time frame
7th day after ICU admission
4

F1-score

The harmonic mean of precision and recall; the higher the score, the better the diagnostic performance of the model

Time frame
7th day after ICU admission

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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