METHODS AND SYSTEMS FOR ASSESSING CLINICAL OUTCOMES
First Claim
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1. A method for characterizing the probability of a clinical outcome of a subject, comprising:
- a. constructing a probability space defined by a set of discrete clinical outcomes, each of which is characterized by a statistical distribution of at least one biological marker;
b. obtaining subject data corresponding to the at least one biological marker; and
c. calculating the position of said subject data in said probability space, thereby characterizing the probability of the clinical outcome of said subject.
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Abstract
Described herein are methods and systems useful for characterizing clinical outcomes of a subject. Provided herein includes computer-assessed methods, medical information systems, and computer-readable instructions that can aid an end-user in diagnosis, prognosis, and treatment of a clinical outcome.
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Citations
79 Claims
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1. A method for characterizing the probability of a clinical outcome of a subject, comprising:
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a. constructing a probability space defined by a set of discrete clinical outcomes, each of which is characterized by a statistical distribution of at least one biological marker; b. obtaining subject data corresponding to the at least one biological marker; and c. calculating the position of said subject data in said probability space, thereby characterizing the probability of the clinical outcome of said subject. - View Dependent Claims (4, 5, 6, 7, 8, 9, 10, 11)
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2. A medical information system for subject data analysis comprising:
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a. an input device for receiving subject data and in communication with a processor; b. a storage unit in communication with the processor having a database for;
(i) storing data corresponding to a probability space defined by a set of discrete clinical outcomes, each of which is characterized by statistical distribution of at least one biological marker; and
(ii) storing subject data corresponding to the at least one biological marker;c. a processor that calculates the position of said subject data in said probability space as a way of assessing the probability of a discrete clinical outcome of said subject; and d. an output device that transmits information relating to the discrete clinical outcome of c) to an end user. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39)
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3. A method of characterizing a clinical outcome of a subject comprising:
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a. constructing a probability space within a server, wherein the probability space is defined by a set of discrete clinical outcomes, each of which is characterized by the statistical distribution of at the least one biological marker; b. entering data of a subject into the server, said data corresponding to the at least one biological marker; and c. calculating the position of said subject data in said probability space thereby characterizing the clinical outcome of the subject.
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40. A computer readable medium comprising computer readable instructions, which when executed cause a processor to:
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a. provide a probability space defined by a set of discrete clinical outcomes, each of which is characterized by a statistical distribution of at least one biological marker; b. obtain subject data corresponding to the at least one biological marker; and c. calculate the position of said subject data in said probability space to assess the probability of a clinical outcome of said subject. - View Dependent Claims (41, 42)
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43. A method of predicting the occurrence of a medical condition that requires medical intervention, the method comprising:
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a. measuring concentrations of a first set of biomarkers present in a subject and measuring one or more physiological indicators of said subject at a given frequency, wherein the first set of biomarkers are suspected to be predictive of the medical condition; b. based on the concentrations measure in (a), generating from the first set a subset of biomarkers that are more correlative with the occurrence of the medical condition and/or a new frequency of measurement of the biomarkers; and c. measuring concentrations of the subset of (b) and/or following the new frequency of measurement of one or more biomarkers, thereby predicting the occurrence of the medical condition. - View Dependent Claims (44, 45, 46)
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47. A method of monitoring sepsis development of a subject comprising:
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measuring at least two parameters selected from the group of (1) body temperature of said subject, (2) protein C concentration of said subject, (3) interleukin 6 (IL-6) concentration of said subject, multiple times to yield a trend of temperature, protein C trend, and/or IL-6; and wherein an increase beyond normal body temperature, a decrease in protein C concentration and/or an increase in IL-6 concentration is indicative of the development of sepsis in said subject. - View Dependent Claims (48, 49, 50, 51, 52, 53)
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54. A method for characterizing a medical condition of a subject, comprising:
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a. obtaining a first set of subject data comprising at least one biological marker and at least one physiological parameter from the subject; b. determining the probability of a medical condition of the subject using the first set of subject data obtained; c. selecting a second set of subject data from the probability of the medical condition; and d. obtaining the second set of subject data from the subject, thereby characterizing the medical condition of the subject.
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55. A method for characterizing periodicity of a clinical condition of a subject, the method comprising:
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a. identifying a set of biomarkers for a clinically relevant condition; b. obtaining longitudinal subject data corresponding to at least one biomarker in said set to obtain a trend of the subject data; c. analyzing said trend to identify periodic changes in the at least one biomarker; d. measuring values of peak measurements of the periodic changes of the trend; and e. characterizing the values of the peaks thereby characterizing the periodicity of the clinically relevant condition. - View Dependent Claims (56, 57, 58, 59, 60, 61, 62)
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63. A method for monitoring subject response to therapy comprising:
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a. obtaining longitudinal subject data corresponding to at least one biomarker in a set of biomarkers for a clinically relevant condition to obtain a trend of the subject data, wherein the subject data is obtained from a subject receiving a therapy; b. monitoring periodicity of the trend; and c. corresponding the periodicity to a response to the therapy received by the subject. - View Dependent Claims (64, 65, 66, 67, 68)
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69. A method for characterizing the emergence of clinically relevant subpopulations of patients exposed to a therapeutic agent, the method comprising:
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a. identifying a set of biomarkers in a blood sample that act as surrogate markers for the therapeutic agent; b. measuring the set of biomarkers longitudinally from a group of patients exposed to the therapeutic agent; c. identifying distinct clusters in a multivariate clustering space of the measured values of the set of biomarkers from the group of patients; d. determining the rate of separation of the distinct clusters and measuring the distance between the distinct clusters in a statistical manner; e. obtaining patient information from the group of patients to classify the patients in clinically relevant subpopulations; and f. comparing the distinct clusters to the clinically relevant subpopulations to characterize sensitivity and specificity of the distinct clusters to predict the clinically relevant subpopulations. - View Dependent Claims (70, 71, 72, 73, 74, 75, 76, 77, 78, 79)
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Specification