Clinical trial NCT06815523: Prediction of Duration of Mechanical Ventilation in Acute Hypoxemic Respiratoty Failure
Official title: Prediction of Duration of Mechanical Venylation in Patients Wit Acute Hypoxemic Respiratory Failure Usinf Machine Learning Approaches
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Acute Hypoxemic Respiratory Failure
Keywords: mechanical ventilation
machine learning
prediction of prolonged mechanical ventilation
outcome
Lead sponsor: Dr. Negrin University Hospital
Sponsor class: OTHER
Collaborators: name: Hospital Universitario Dr. Negrín (Las Palmas de Gran Canaria)
name: Iinstituto de Salud Carlos III
First posted: 2025-02-07
Enrollment: 1241
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: De-identified dataset inclusing 1241 ventilated patients with AHRF admitted in a network of Spainisg ICUs.

Brief summary: Acute hypoxemic respiratory failure (AHRF) is a common cause of admission in intensive care units (ICUs) worldwide. We will assess machine learning (ML) techniques for prediction of prolonged duration (\> or = to 7 days) of mechanical ventilation (MV) in 1,241 patients enrolled in the PANDORA study in Spain. The study was registered with ClinalTrials.gov (NCT03145974). Our aim is to identify a model with the minimum number of variables that predict duration of prolonged ventilation in AHRF patients using data as early as from the first 48 hours with machine learning algorithms.

Detailed description: Acute hypoxemic respiratory failure (AHRF) is the most common cause of admission in intensive care units (ICUs) worldwide. The investigators will assess the value of machine learning (ML) techniques for prediction of prolonged duration (\> or equeal to 7 days) of mechanical ventilation (MV) in 1,241 patients enrolled in the PANDORA study in Spain. Few studies have investigated the prediction of prolonged MV in patients with AHRF.

For model training and testing, the investigators will extract data from random pateints from the first 2 days after diagnosis of AHRF. The investigators had a database with 2,000,000 anonymized and dissociated demographics and clinically relevant data from 1,241 patients with AHRF from 22 hospitals in Spain. The investigators will follow the TRIPOD guidelines for prediction models. The investigators will screen relevant collected variables using a genetic algorithm variable selection to achieve parsimony. We will use 5-fold corss-validation in the data set of patients with data at T0, T24 and T48. We will use 25% of patients randomly selected for evaluation of the model.

Eligibility criteria: Inclusion Criteria:

* enotracheal intubation puls mechanical ventilation
* PaO2/FiO2 ratio \<or = 300 mmHg under MV with PEEP \>or =5 and FiO2 \>or = 0.3

Exclusion Criteria:

* Brain death patients

Primary outcomes:
measure: MV duration
timeFrame: up to 100 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Las Palmas de Gran Canaria
country: Spain
facility: Hospital Dr. Negrin
state: Las Palmas
city: Madrid
country: Spain
facility: Hospital Universitario La Paz
Study officials:
affiliation: Fundacion Canaria Instituto de Investigación Sanitaria de Canarias
name: Jesus Villar
role: STUDY_DIRECTOR
References: