Evidence

Evidence built from the recovery journey itself.

Crely's evidence base is generated from longitudinal physiological data collected across the postoperative course — spanning retrospective clinical proof-of-concept, technology validation, translational work, and a prospective validation pathway.

The evidence base

Four layers, from data to prospective study.

The evidence is organised into four layers — each described below with exactly the detail it supports.

01

Clinical proof-of-concept

Model performance developed on retrospective, continuously-monitored post-CABG cohorts.

02

Technology validation

Sensing benchmarked against cleared reference devices and assessed for signal quality.

03

Translational

Physiological mechanism connecting preclinical work to the human-cohort models.

04

Prospective pathway

A validation programme with pre-specified endpoints, now under way.

Built on longitudinal data from ~450 patients across cardiac, abdominal, and organ-transplant surgery. All performance shown below is development-stage and retrospective — always paired with its cohort and design.

Clinical evidence

Performance, inside its study context.

Each application is shown with its cohort, the number of outcome events, warning-time ahead of the clinical reference, coverage of those events, and sensitivity / specificity — all on post-cardiac-surgery (CABG) development cohorts.

Infection

IRIS

Infection Risk Intelligence System

160 post-CABG patients · 16 infection events · retrospective development

45 h
Median warning time
90%
Event coverage
75%
Sensitivity
89.5%
Specificity
StatusRetrospective development on a post-CABG cohort. Investigational — prospective validation under way; not for stand-alone diagnostic use.
Deterioration

CLARIS

Critical Care Alert & Risk Intelligence System

45 post-CABG patients · 41 deterioration events · 100% event coverage · retrospective development

Hyperlactataemia
5 h
Warning time
99.6%
Sensitivity
90.1%
Specificity
Acid–base disturbance
19 h
Warning time
85.9%
Sensitivity
87.3%
Specificity
StatusRetrospective development on a post-CABG cohort. Investigational — prospective validation under way; not for stand-alone diagnostic use.
Trajectory

MERIS

Mortality Event Risk Intelligence System

364 post-CABG patients · 11 deaths · retrospective development

270 h
Median warning time
100%
Event coverage
81.8%
Sensitivity
93.6%
Specificity
StatusRetrospective development on a post-CABG cohort. Investigational — prospective validation under way; not for stand-alone diagnostic use.
Technology validation

Does the device measure what it should?

Beyond the clinical models, the underlying sensing is assessed against established references and for signal quality.

Device benchmarking

Tissue-oximetry measurements assessed for substantial equivalence against FDA-cleared tissue oximeters (Medtronic INVOS 7100, Masimo O3).

Signal quality

Continuous multimodal signals are evaluated for quality and stability, so downstream models act on reliable inputs rather than artefact.

Translational

From mechanism to human study.

Crely's models rest on physiological mechanism, not correlation alone. Each signal is included because there is a reason a complication would change it — perfusion, inflammation, autonomic response — so a flagged change is explainable rather than a black box.

Preclinical work supports that a measurable physiological change can appear before a complication becomes clinically overt — the same mechanism the human-cohort models rely on. This translational thread links laboratory findings to the retrospective clinical results, and grounds the prospective studies now under way.

Validation roadmap

From retrospective signal to prospective proof.

Each capability is labelled by exactly where it stands today — retrospective development complete, and prospective validation now in progress.

Retrospective development

Complete

Signals established on continuously-monitored cohorts.

Prospective validation

In progress

Hospital studies with pre-specified endpoints, testing the signals prospectively.

Publications

The record, as it grows.

Manuscripts describing the development cohorts and model performance are in preparation. Each reference is labelled by stage — published, accepted, submitted, or in preparation — and full methods and results are shared under an evidence briefing.

The evidence briefing

Want the full methods and results?

We share study design, cohort detail, and complete performance — with all context intact — under an evidence briefing for clinical and partner conversations.

Request an evidence briefing