This is a pilot study of surgical patients whose postoperative care will be augmented with a personalized risk prediction platform (CALYPSO app).
CALYPSO is a software platform that uses machine learning techniques to create personalized risk predictions for postoperative complications. Individual risk factors are then linked to best-practice interventions tailored to the individual patient. The investigator aims to test the hypothesis that using CALYPSO-augmented postoperative care will reduce complication rates in patients undergoing elective general surgery. Subjects undergoing surgery will be assigned to the CALYPSO intervention in the postoperative period.
Study Type
OBSERVATIONAL
Enrollment
200
Software platform of machine-learning based predictive models of surgical complication.
Previous standard of care based on surgeon judgement alone.
Duke University Medical Center
Durham, North Carolina, United States
Thirty Day Overall Complications
Time frame: 30 days after surgery
Thirty Day Mortality
Time frame: 30 days after surgery
Wound Complications
Includes superficial, deep, organ space infections, and wound dehiscence
Time frame: 30 days after surgery
Cardiac Complications
includes myocardial infarction, cardiac arrest
Time frame: 30 days after surgery
Respiratory Complications
includes unplanned reintubation, pneumonia, failure to wean from ventilator \>48 hours after surgery
Time frame: 30 days after surgery
Thrombotic complications
includes deep vein thrombosis, pulmonary emobolism
Time frame: 30 days after surgery
Renal Complications
includes acute renal failure, renal failure requiring dialysis
Time frame: 30 days after surgery
urinary tract infections
Time frame: 30 days after surgery
Neurologic complications
includes stroke, peripheral nerve injury, coma
Time frame: 30 days after surgery
Septic complications
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
includes sepsis and septic shock
Time frame: 30 days after surgery
Unplanned reoperation
Time frame: 30 days after surgery
unplanned readmission
Time frame: 30 days after surgery
bleeding complications
needing at least 1 unit of pRBC
Time frame: up to 72 hours after surgery