Application of a Clinical Decision Support System to Reduce Mechanical Ventilation Duration After Cardiac Surgery in Children

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age1-12
SponsorBoston Children's Hospital

About this trial

The goal of this study is to evaluate the impact of a clinical decision support system (CDSS) in children receiving mechanical ventilation (MV) after surgery for congenital heart disease (CHD). The main question it aims to answer is:

-What is the impact of a CDSS designed to facilitate weaning and discontinuation of MV on the duration of MV in post-operative congenital cardiac surgery patients?

Participants will be identified as eligible to initiate weaning from mechanical ventilation. Providers will decide whether or not to initiate weaning based on recommendations provided by the CDSS. Researchers will compare patients exposed to the CDSS with a historical cohort to see if the CDSS facilitated a decrease in MV duration.

Eligibility criteria

Qualifiers

Children < 12 years old

Post-cardiac surgery

Receiving mechanical ventilation for ≥ 48 hours in the Cardiac Intensive Care Unit at Boston Children's Hospital following surgery

Disqualifiers

Premature infants (<37 weeks' gestation)

Weight < 2kg

Baseline ventilator (via tracheostomy) or noninvasive positive pressure dependence

Trial design

Treatments tested in this trial

  • Clinical decision support system (CDSS) for ventilator weaning

Treatment groups

330 Participants
are divided into 1 treatment group

Locations

1
Boston Children's Hospital02115, BostonMassachusetts, United States

Sponsors and collaborators

Boston Children's Hospital

Lead sponsor

The Brett Boyer Foundation

Collaborator