Cohort endpoints
Compare physiological metrics across treatment groups, identify outliers, and explore research-only signal-derived risk stratification tied to outcomes metadata.
Research question
Do HRV, blood pressure, or other cardiovascular metrics differ significantly between groups, and do signal-derived indices associate with clinical outcomes in this cohort?
Who this is for
- Hospital research programs comparing treatment arms or diagnostic groups
- Pharma and clinical trial teams evaluating digital physiological endpoints
- Translational teams attaching MACE or follow-up outcomes to autonomic metrics
Data requirements
| Data | Required | Purpose |
|---|---|---|
| Datasets with completed HRV (or BP) runs | Yes | Metric values for group comparison |
| Subjects with group labels | Yes | Treatment group, diagnosis, sex, age |
| Outcomes metadata | No | Risk scoring and outcome correlation |
| Multiple subjects per group | Recommended | Meaningful statistical comparison |
Workflow
Import subjects with outcomes → Upload and link datasets → Batch HRV → Compare cohorts → Risk scores → Interpret
Step 1 — Import cohort metadata
Upload a subjects CSV including group labels and optional outcomes columns:
external_id,age,sex,treatment_group,diagnosis,mace_event,followup_days
P001,58,M,control,hypertension,0,365
P002,62,F,treated,hypertension,0,365
P003,55,M,treated,hypertension,1,180
P004,60,F,control,hypertension,0,365
Extra outcome columns are stored as flexible metadata for filtering and risk scoring.
Step 2 — Complete metric runs
Ensure HRV (or chosen metric pipeline) has completed for all compared datasets. Use Batch HRV from the cohort page if runs are pending.
Step 3 — Compare groups
Navigate to Studies → Cohort (/experiments/{id}/cohort):
- Choose group by —
treatment_group,sex,diagnosis, or another metadata field - Select HRV metric — RMSSD, SDNN, LF/HF, or other computed measure
- Pick statistical test
- Click Compare cohorts
Review:
- Box/violin chart with per-subject data points
- Summary table with group means, SDs, and p-values
- Outlier panel — subjects >2 SD from group mean
Export charts as PNG or PDF for reports.
Step 4 — Research risk stratification (optional)
Run Compute risk scores at cohort level when outcomes metadata is present. Signal-derived stratification indices appear on the cohort workspace and persist on subject hub cards.
This is research exploration only — not clinical decision support. A research disclaimer is shown in the UI.
Step 5 — Drill down and interpret
- Click outliers to open the subject hub, waveform explorer, or individual HRV run
- Use Interpret on the cohort page for a narrative citing group statistics
- Export methods text and run manifest from completed pipeline runs
Expected outputs
- Group comparison chart with statistical test results
- Per-subject metric table across the cohort
- Outlier identification with drill-down links
- Research risk index per subject (when risk scoring run)
- AI cohort narrative with cited statistics
- Exportable figures and run provenance for methods sections
Typical analyses
| Analysis | Comparison | Question |
|---|---|---|
| Treatment response | treated vs. control | Did RMSSD increase after beta-blocker therapy? |
| Nocturnal autonomic balance | LF/HF by group | Is sympathetic dominance greater in the heart failure subgroup? |
| Outcome association | MACE event vs. no event | Do subjects with events show lower HRV at baseline? |
| BP dipping | dipper vs. non-dipper | Does dipping classification track with treatment arm? |