Point-Of-Care TBI Detection System For Head Injured Patients In The Emergency Department

NCT ID: NCT02367274

Last Updated: 2016-04-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

421 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-01-31

Study Completion Date

2016-04-30

Brief Summary

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A prospective, non-randomized trial for the extension and replication of the development database of brain electrical activity recordings and clinical information collected from patients who present to the ED following closed head injury.

Detailed Description

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The objective of this study is to test the clinical utility of the BrainScope technology for the acute identification of traumatic structural brain injury in the TBI population, following closed head injury. The data generated will serve to validate and/or refine the current algorithms to detect acute, traumatic, structural brain injury.

Conditions

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Brain Injuries

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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BrainScope Ahead 200

A single-use, proprietary headset containing pre-gelled electrodes will be placed on the subject's forehead according to the standard locations of the modified International 10/20 system. Subjects will undergo approximately 5 minutes of eyes closed brain electrical activity recording.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subjects who are admitted to the ED and are suspected of a traumatic, closed head injury within 24 hours. The patient will have a GCS 12-15 upon arrival to the ED even if GCS was lower prior to arrival to the ED (e.g., at the time of injury).

Exclusion Criteria

* Subjects will be excluded who have forehead, scalp, or skull abnormalities or other conditions that would prevent correct application of the electrode headset on the skin.
* In addition,

* subjects with dementia,
* Parkinson's Disease,
* multiple sclerosis,
* seizure disorder,
* brain tumors,
* history of brain surgery,
* psychiatric disorder being managed by a psychiatric healthcare professional/provider,
* substance dependence,
* history of TIA or stroke within the last year,
* currently receiving dialysis or in end-stage renal disease,
* active fever defined as greater than 100 degrees F or 37.7 degrees C,
* current condition is "critical" in the opinion of the investigator,
* subject is suffering from an open head injury,
* subject requires advanced airway management (i.e. mechanical ventilation), currently receiving procedural sedation medications.
* Subjects below the age of 18 years, and prisoners will not be eligible for study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BrainScope Company, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Douglas C Oberly

Role: PRINCIPAL_INVESTIGATOR

BrainScope Company, Inc.

Locations

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Hartford Hospital

Hartford, Connecticut, United States

Site Status

Emory University- Grady Hospital

Atlanta, Georgia, United States

Site Status

R Cowley Shock Trauma Hospital

Baltimore, Maryland, United States

Site Status

Wayne State University - Detroit Receiving Hospital

Detroit, Michigan, United States

Site Status

Wayne State University - Sinai Grace Hospital

Detroit, Michigan, United States

Site Status

Washington University - Barnes Jewish Hospital

St Louis, Missouri, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Baylor University Medical Center

Dallas, Texas, United States

Site Status

UT-Houston Health Science Center

Houston, Texas, United States

Site Status

University of Virginia Medical Center

Charlottesville, Virginia, United States

Site Status

Countries

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United States

References

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Huff JS, Jahar S. Differences in interpretation of cranial computed tomography in ED traumatic brain injury patients by expert neuroradiologists. Am J Emerg Med. 2014 Jun;32(6):606-8. doi: 10.1016/j.ajem.2014.03.010. Epub 2014 Mar 18.

Reference Type BACKGROUND
PMID: 24731934 (View on PubMed)

Prichep LS, Naunheim R, Bazarian J, Mould WA, Hanley D. Identification of hematomas in mild traumatic brain injury using an index of quantitative brain electrical activity. J Neurotrauma. 2015 Jan 1;32(1):17-22. doi: 10.1089/neu.2014.3365.

Reference Type BACKGROUND
PMID: 25054838 (View on PubMed)

O'Neil B, Naunheim R, DeLorenzo R. CT positive brain injury in mild TBI patients presenting with normal SAC scores. Mil Med. 2014 Nov;179(11):1250-3. doi: 10.7205/MILMED-D-13-00585.

Reference Type BACKGROUND
PMID: 25373049 (View on PubMed)

Prichep LS, Jacquin A, Filipenko J, Dastidar SG, Zabele S, Vodencarevic A, Rothman NS. Classification of traumatic brain injury severity using informed data reduction in a series of binary classifier algorithms. IEEE Trans Neural Syst Rehabil Eng. 2012 Nov;20(6):806-22. doi: 10.1109/TNSRE.2012.2206609. Epub 2012 Jul 26.

Reference Type BACKGROUND
PMID: 22855231 (View on PubMed)

Prichep LS, Ghosh Dastidar S, Jacquin A, Koppes W, Miller J, Radman T, O'Neil B, Naunheim R, Huff JS. Classification algorithms for the identification of structural injury in TBI using brain electrical activity. Comput Biol Med. 2014 Oct;53:125-33. doi: 10.1016/j.compbiomed.2014.07.011. Epub 2014 Aug 1.

Reference Type BACKGROUND
PMID: 25137412 (View on PubMed)

Naunheim RS, Treaster M, English J, Casner T. Automated electroencephalogram identifies abnormalities in the ED. Am J Emerg Med. 2011 Oct;29(8):845-8. doi: 10.1016/j.ajem.2010.03.010. Epub 2010 May 1.

Reference Type RESULT
PMID: 20825903 (View on PubMed)

O'Neil B, Prichep LS, Naunheim R, Chabot R. Quantitative brain electrical activity in the initial screening of mild traumatic brain injuries. West J Emerg Med. 2012 Nov;13(5):394-400. doi: 10.5811/westjem.2011.12.6815.

Reference Type RESULT
PMID: 23359586 (View on PubMed)

Naunheim RS, Treaster M, English J, Casner T, Chabot R. Use of brain electrical activity to quantify traumatic brain injury in the emergency department. Brain Inj. 2010;24(11):1324-9. doi: 10.3109/02699052.2010.506862.

Reference Type RESULT
PMID: 20722504 (View on PubMed)

Hanley DF, Chabot R, Mould WA, Morgan T, Naunheim R, Sheth KN, Chiang W, Prichep LS. Use of brain electrical activity for the identification of hematomas in mild traumatic brain injury. J Neurotrauma. 2013 Dec 15;30(24):2051-6. doi: 10.1089/neu.2013.3062. Epub 2013 Nov 23.

Reference Type RESULT
PMID: 24040943 (View on PubMed)

Ayaz SI, Thomas C, Kulek A, Tolomello R, Mika V, Robinson D, Medado P, Pearson C, Prichep LS, O'Neil BJ. Comparison of quantitative EEG to current clinical decision rules for head CT use in acute mild traumatic brain injury in the ED. Am J Emerg Med. 2015 Apr;33(4):493-6. doi: 10.1016/j.ajem.2014.11.015. Epub 2014 Nov 20.

Reference Type RESULT
PMID: 25727167 (View on PubMed)

Other Identifiers

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11-Ahead

Identifier Type: -

Identifier Source: org_study_id

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