Clinical trial NCT03362346: Signal Analysis for Neurocritical Patients
Official title: Analysis of Physiological Signals From Neurocritical Patients in Intensive Care Units Using Wavelet Transform and Deep Learning
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Brain Injuries, Acute
Keywords: Wavelet transform
Deep learning
Lead sponsor: Far Eastern Memorial Hospital
Sponsor class: OTHER
First posted: 2017-12-05
Enrollment: 156
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Neurocritical patients admitted to intensive care unit (ICU), including but not limited to traumatic brain injury, hemorrhagic stroke, ischemic stroke, brain infection, brain tumor and acute hydrocephalus.

Brief summary: The project uses big data analysis techniques such as wavelet transform and deep learning to analyze physiological signals from neurocritical patients and build a model to evaluate intracranial condition and to predict neurological outcome. By identification of correlations among these parameters and their trends, we may achieve early detection of anomalies and enhance the ability in judgement of current neurological condition and prediction of prognosis. By continuous input of the past and contemporary data in the ICU, the model will be modified repeatedly and its accuracy improves as the model grows. The model can be used to recognize abnormalities earlier and provide a warning system. Clinicians taking care of neurocritical patients can adjust their treatment policy and evaluate the outcome according to such system.


Eligibility criteria: Inclusion Criteria:

* Age equal to or older than 20 years
* Neurocritical patients admitted to intensive care unit (ICU), including but not limited to traumatic brain injury, hemorrhagic stroke, ischemic stroke, brain infection, brain tumor and acute hydrocephalus.
* Patients who have undergone cranial surgery and had intracranial pressure monitor inserted or external ventricular drainage. The central monitor of ICU is able to collect the data continuously

Exclusion Criteria:

* Age younger than 20 years.
* Continuous monitoring of intracranial pressure is not feasible.

Primary outcomes:
measure: Neurological status
timeFrame: Discharge out of the intensive care unit, averaged 2 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: New Taipei City
country: Taiwan
facility: Far Eastern Memorial Hospital
Study officials:
affiliation: Far Eastern Memorial Hospital
name: Yi-Hsin Tsai, M.D.
role: PRINCIPAL_INVESTIGATOR
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