RecruitingNot ApplicableNCT06886529

PACT Involvement in Cardiology Patients

Early PACT Involvement in Cardiology Patients Using Machine Learning


Sponsor

The Hospital for Sick Children

Enrollment

1,000 participants

Start Date

Oct 16, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this trial is to determine the effectiveness of a machine-learning (ML) model predicting a serious cardiac event within the next three months, when compared pre- versus post-deployment, in pediatric cardiac inpatients. The main questions it aims to answer are whether deployment of the ML model: 1. Increases PACT consultation within the next three months among admissions without PACT involvement in the previous 100 days 2. Increases PACT consultation or visit within the next three months among those who experience a serious cardiac event during this period 3. Decreases time to PACT consultation or visit among those seen by PACT during this period 4. Decreases the incidence of death in the intensive care unit (ICU) 5. Increases documentation of goals of care High-risk cardiology patients will be identified by an ML model each morning. If the patient has been seen by the PACT team within the past year, the update will go to the PACT team members. If the patient hasn't been seen by the PACT team, the email will be sent to the cardiology physician in charge of the patient. This physician will decide whether a PACT consultation is necessary based on their clinical judgment. If so, a referral will be made using the usual process. Outcomes of the identified patients will be compared pre- and post-deployment.


Eligibility

Max Age: 18 Years

Inclusion Criteria1

  • Pediatric inpatients admitted to cardiology

Exclusion Criteria1

  • Expected to be discharged prior to midnight on the day of admission

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Interventions

OTHERML-based intervention

ML model predicting a serious cardiac event in cardiac patients, defined as VAD procedure, being wait listed for heart transplant or death within the next three months.


Locations(1)

The Hospital for Sick Children

Toronto, Canada

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NCT06886529


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