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Measuring Brain Complexity to Detect and Predict Recovery of Consciousness in the ICU
Sponsor: Massachusetts General Hospital
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.
Official title: Measuring Brain Complexity to Detect and Predict Recovery of Consciousness in the ICU (COMPASS)
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2024-11-08
Completion Date
2029-08-01
Last Updated
2025-05-15
Healthy Volunteers
No
Conditions
Interventions
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
Locations (2)
Massachusetts General Hospital
Boston, Massachusetts, United States
UW Health University Hospital
Madison, Wisconsin, United States