External Validation of an Algorithm to Guide Opioid Administration at the End of Surgery-Protocol for an Observational Cohort Study of the OPIAID Algorithm.

Journal: Acta anaesthesiologica Scandinavica
Published Date:

Abstract

BACKGROUND: Despite advances in pain management, inadequate pain relief and opioid-related adverse events remain common challenges in perioperative care, often contributing to prolonged recovery and reduced quality of life. The perioperative opioid algorithms for individualized dosing (OPIAID) project aims to develop machine-learning algorithms tailored to provide patient-specific opioid dosing across the different phases of perioperative care. For each phase, eight models are trained on granular data from 1.1 million surgical procedures, including demographic and surgical details, vital signs, administered analgesics, pain, and opioid-related adverse events. The two most accurate models will proceed to external validation. The best-performing model will subsequently be tested as a decision support against current standard of care.

Authors

  • Anders Peder Højer Karlsen
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Pernille Bjersand Sunde
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Ida Houtved Rasmussen
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Caroline Folkersen
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Trang Xuan Minh Tran
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Markus Kien Trung Nguyen
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Line Maria Elkjær
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Troels Haxholdt Lunn
    Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
  • Christian S Meyhoff
  • Jonas Valbjørn Andersen
    IT-University of Copenhagen, Copenhagen, Denmark.
  • Ole Mathiesen
    Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
  • Markus Harboe Olsen
    Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.