Measuring Brain Complexity to Detect and Predict Recovery of Consciousness in the ICU
NCT06568536 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2025-05-15
Summary
Disorders of consciousness (DoC) caused by severe brain injury affect millions of people worldwide each year. A patient's level of consciousness in the intensive care unit (ICU) significantly impacts the recovery from disability and is a primary determinant of family decisions about withdrawal of life-sustaining therapy (WLST). However, reliable assessment of consciousness in the ICU remains elusive. Transcranial magnetic stimulation-electroencephalography (TMS-EEG) is a tool that has shown the best performance in detecting signs of consciousness in patients with chronic DoC. The goals of this prospective, observational study are to demonstrate the diagnostic performance and prognostic utility of TMS-EEG in the ICU setting.
Conditions
- Consciousness Disorders
Interventions
- OTHER
-
Repeated behavioral assessments, functional electroencephalography and brain imagery, TMS-EEG
The presence of consciousness will be classified considering the highest level of consciousness revealed by repeated behavioral examinations, functional electroencephalography (task-based EEG), and functional brain imagery (task-based fMRI). Based on the results of this composite standard reference, we will evaluate the diagnostic and prognostic accuracy of TMS-EEG measurements of brain complexity
Sponsors & Collaborators
-
National Institute of Neurological Disorders and Stroke (NINDS)
collaborator NIH -
Massachusetts General Hospital
lead OTHER
Principal Investigators
-
Brian L. Edlow, MD · Massachusetts General Hospital
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-11-08
- Primary Completion
- 2029-08-31
- Completion
- 2029-08-01
Countries
- United States
Study Locations
More Related Trials
-
Impact of Intensive Computerized Cognitive Training
NCT06130735 ·Status: RECRUITING ·Phase: NA
-
Mindfulness Based Stress Reduction and Post-Stroke Cognition
NCT04302493 ·Status: COMPLETED ·Phase: NA
-
Wearable Device-Based Analysis of the Relationship Between Sleep Patterns and Clinical Prognosis in Patients With Traumatic Brain Injury
NCT06790979 ·Status: RECRUITING
-
Dual-Task Exercise for Mild Traumatic Brain Injury (mTBI)
NCT06037603 ·Status: COMPLETED ·Phase: NA
-
Bringing to Light the Risk Factors And Incidence of Neuropsychological Dysfunction in ICU Survivors, 2nd Study
NCT04305600 ·Status: ACTIVE_NOT_RECRUITING
-
Effect of Progressive Early Mobilization in Patients With TBI
NCT04810273 ·Status: COMPLETED ·Phase: NA
-
Investigating Usability of c-SIGHT in the Homes of Brain Injury Survivors
NCT03963661 ·Status: UNKNOWN ·Phase: NA
-
Impact of Early Optimization of Brain Oxygenation on Neurological Outcome After Severe Traumatic Brain Injury
NCT02754063 ·Status: COMPLETED ·Phase: NA
-
Evaluating the Effectiveness of Treatment for Metacognition in Moderate and Severe Traumatic Brain Injury
NCT03169647 ·Status: COMPLETED ·Phase: NA
-
Building Resiliency in Patients Admitted to the Neuroscience Intensive Care Unit and Their Caregivers
NCT03694678 ·Status: COMPLETED ·Phase: NA
-
COGnitive Outcomes and WELLness in Survivors of Critical Illness
NCT02086877 ·Status: UNKNOWN
-
Emotion Assessment to Study Consciousness in Awakening Patients
NCT03706170 ·Status: COMPLETED ·Phase: NA
-
Training Cognition With Neurofeedback After Stroke
NCT06852209 ·Status: RECRUITING ·Phase: NA
-
Transcranial Magnetic Stimulation in Disorder of Consciousness in Acute Severe Cerebrovascular Disease Patients
NCT05670873 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Cognitive Stimulation Study
NCT02067689 ·Status: COMPLETED ·Phase: NA
-
Intervention to Change Affect Recognition and Empathy
NCT05636020 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Preventing Chronic Depression and PTSD in Stroke Patients Admitted to the Neuroscience Intensive Care Unit (NICU) and Their Family Caregivers
NCT02797509 ·Status: COMPLETED ·Phase: NA
-
Building Resiliency in Dyads of Patients With an ANI Admitted to the Neuro-ICU and Their Informal Caregivers
NCT05157880 ·Status: RECRUITING ·Phase: NA
-
Does Cognitive Rehabilitation Demonstrate Benefits in the Group Setting With People Whom Have Experienced Brain Injury?
NCT00166348 ·Status: COMPLETED ·Phase: NA
-
Cognitive-Communication Screening and Early Therapy for Adults With Mild TBI
NCT03230656 ·Status: COMPLETED ·Phase: NA
-
Cognitive Rehabilitation and Brain Activity of Attention-Control Impairment in TBI
NCT04199130 ·Status: WITHDRAWN ·Phase: NA
-
A Multi-Modal Combination Intervention to Promote Cognitive Function in Older Intensive Care Unit Survivors
NCT06411561 ·Status: RECRUITING ·Phase: NA
-
Simultaneous Recumbent Cycling and Cognitive Training
NCT04556227 ·Status: RECRUITING ·Phase: NA
-
Mindfulness-Based Stress Reduction to Improve Neuropsychological Functioning in Acquired Brain Injury
NCT03969563 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Sensory Stimulation for Person in a Coma or Persistent Vegetative State After Traumatic Brain Injury
NCT02629588 ·Status: COMPLETED