- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07493798
Serum Potassium Prediction Using Machine Learning and Single-lead ECG
March 21, 2026 updated by: David Levine, Brigham and Women's Hospital
This is a retrospective study drawing on data from the Brigham and Women's Hospital Home Hospital Program's Database.
Sociodemographic and clinical data from a training cohort were used to train a machine learning algorithm to predict blood potassium throughout a patient's admission.
This algorithm was then validated in a validation cohort.
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Study Type
Observational
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
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Boston, Massachusetts, United States, 02130
- Brigham and Women's Faulkner Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Subjects admitted at Brigham and Women's Hospital and Brigham and Women's Faulkner Hospital who meet primary diagnosis, age, and residence within 5 mile requirements and are enrolled in home hospital.
Description
Was a subject in the Brigham and Women's Home Hospital study and has a completed record in the study's database.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Training
A subset of patients that are used to train the machine learning algorithm.
|
Apply a machine learning algorithm to estimate a patient's potassium.
|
|
Validation
A subset of patients that are "held back" and used to validate the algorithm's accuracy.
|
Apply a machine learning algorithm to estimate a patient's potassium.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Serum potassium concentration
Time Frame: From date of admission to date of discharge, through study completion on average 7 days.
|
Serum potassium, measured in millimol per liter
|
From date of admission to date of discharge, through study completion on average 7 days.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hyperkalemia
Time Frame: From date of admission to date of discharge, through study completion on average 7 days.
|
Serum potassium greater than 5.1 millimol per liter
|
From date of admission to date of discharge, through study completion on average 7 days.
|
|
Hypokalemia
Time Frame: From date of admission to date of discharge, through study completion on average 7 days.
|
Serum potassium less than 3.4 millimol per liter
|
From date of admission to date of discharge, through study completion on average 7 days.
|
|
Normokalemia
Time Frame: From date of admission to date of discharge, through study completion on average 7 days.
|
Serum potassium between 3.4 and 5.1 millimol per liter
|
From date of admission to date of discharge, through study completion on average 7 days.
|
|
Serum potassium less than versus greater than or equal to 4 millimol per liter
Time Frame: From date of admission to date of discharge, through study completion on average 7 days.
|
Serum potassium falling either less than versus greater than or equal to 4 millimol per liter
|
From date of admission to date of discharge, through study completion on average 7 days.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: David Levine, MD MPH MA, Associate Physician
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Yasin OZ, Attia Z, Dillon JJ, DeSimone CV, Sapir Y, Dugan J, Somers VK, Ackerman MJ, Asirvatham SJ, Scott CG, Bennet KE, Ladewig DJ, Sadot D, Geva AB, Friedman PA. Noninvasive blood potassium measurement using signal-processed, single-lead ecg acquired from a handheld smartphone. J Electrocardiol. 2017 Sep-Oct;50(5):620-625. doi: 10.1016/j.jelectrocard.2017.06.008. Epub 2017 Jun 8.
- Dillon JJ, DeSimone CV, Sapir Y, Somers VK, Dugan JL, Bruce CJ, Ackerman MJ, Asirvatham SJ, Striemer BL, Bukartyk J, Scott CG, Bennet KE, Mikell SB, Ladewig DJ, Gilles EJ, Geva A, Sadot D, Friedman PA. Noninvasive potassium determination using a mathematically processed ECG: proof of concept for a novel "blood-less, blood test". J Electrocardiol. 2015 Jan-Feb;48(1):12-8. doi: 10.1016/j.jelectrocard.2014.10.002. Epub 2014 Oct 18.
- Krogager ML, Kragholm K, Skals RK, Mortensen RN, Polcwiartek C, Graff C, Nielsen JB, Kanters JK, Holst AG, Sogaard P, Pietersen A, Torp-Pedersen C, Hansen SM. The relationship between serum potassium concentrations and electrocardiographic characteristics in 163,547 individuals from primary care. J Electrocardiol. 2019 Nov-Dec;57:104-111. doi: 10.1016/j.jelectrocard.2019.09.005. Epub 2019 Sep 4.
- Corsi C, Cortesi M, Callisesi G, De Bie J, Napolitano C, Santoro A, Mortara D, Severi S. Noninvasive quantification of blood potassium concentration from ECG in hemodialysis patients. Sci Rep. 2017 Feb 15;7:42492. doi: 10.1038/srep42492.
- Rafique Z, Aceves J, Espina I, Peacock F, Sheikh-Hamad D, Kuo D. Can physicians detect hyperkalemia based on the electrocardiogram? Am J Emerg Med. 2020 Jan;38(1):105-108. doi: 10.1016/j.ajem.2019.04.036. Epub 2019 Apr 22.
- Attia ZI, DeSimone CV, Dillon JJ, Sapir Y, Somers VK, Dugan JL, Bruce CJ, Ackerman MJ, Asirvatham SJ, Striemer BL, Bukartyk J, Scott CG, Bennet KE, Ladewig DJ, Gilles EJ, Sadot D, Geva AB, Friedman PA. Novel Bloodless Potassium Determination Using a Signal-Processed Single-Lead ECG. J Am Heart Assoc. 2016 Jan 25;5(1):e002746. doi: 10.1161/JAHA.115.002746.
- Galloway CD, Valys AV, Shreibati JB, Treiman DL, Petterson FL, Gundotra VP, Albert DE, Attia ZI, Carter RE, Asirvatham SJ, Ackerman MJ, Noseworthy PA, Dillon JJ, Friedman PA. Development and Validation of a Deep-Learning Model to Screen for Hyperkalemia From the Electrocardiogram. JAMA Cardiol. 2019 May 1;4(5):428-436. doi: 10.1001/jamacardio.2019.0640.
- Lin CS, Lin C, Fang WH, Hsu CJ, Chen SJ, Huang KH, Lin WS, Tsai CS, Kuo CC, Chau T, Yang SJ, Lin SH. A Deep-Learning Algorithm (ECG12Net) for Detecting Hypokalemia and Hyperkalemia by Electrocardiography: Algorithm Development. JMIR Med Inform. 2020 Mar 5;8(3):e15931. doi: 10.2196/15931.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 20, 2021
Primary Completion (Estimated)
August 1, 2021
Study Completion (Estimated)
December 1, 2021
Study Registration Dates
First Submitted
April 14, 2021
First Submitted That Met QC Criteria
March 21, 2026
First Posted (Actual)
March 25, 2026
Study Record Updates
Last Update Posted (Actual)
March 25, 2026
Last Update Submitted That Met QC Criteria
March 21, 2026
Last Verified
March 1, 2026
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Heart Diseases
- Chronic Disease
- Disease Attributes
- Immune System Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Bronchial Diseases
- Lung Diseases, Obstructive
- Respiratory Hypersensitivity
- Hypersensitivity, Immediate
- Hypersensitivity
- Renal Insufficiency
- Hypertension
- Pathological Conditions, Signs and Symptoms
- Hypertensive Crisis
- Heart Failure
- Pulmonary Disease, Chronic Obstructive
- Asthma
- Infections
- Renal Insufficiency, Chronic
Other Study ID Numbers
- 2017P002583c
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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