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Multi-channel aEEG in Cardiac Arrest Patients With Targeted Temperature Management (MAEGIC)

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ClinicalTrials.gov Identifier: NCT03545828
Recruitment Status : Unknown
Verified September 2019 by Sang Hoon Oh, Seoul St. Mary's Hospital.
Recruitment status was:  Active, not recruiting
First Posted : June 4, 2018
Last Update Posted : September 26, 2019
Sponsor:
Information provided by (Responsible Party):
Sang Hoon Oh, Seoul St. Mary's Hospital

Brief Summary:
This study aims to examine the prognostic value of 18 channel amplitude-integrated EEG (aEEG) in comatose cardiac arrest patients The study design is a prospective observational study. Cardiac arrest patients undergoing targeted temperature management (TTM) will participate in the study. Relation of aEEG in each channel with the neurologic outcome at 6 month after return of spontaneous circulation (ROSC) will be evaluated.

Condition or disease Intervention/treatment
Heart Arrest Targeted Temperature Management Diagnostic Test: Multi-channel aEEG monitoring

Detailed Description:
Normal trace was defined as continuous cortical activity on the raw EEG scan; in addition, the upper margin of the aEEG scan, referred to as the aEEG maximum, was >10 μ V, and the lower margin of the aEEG scan, referred to as the aEEG minimum, was >5 μ V. The Time from ROSC to normal trace (TTNT, hours) is predictor of neurological outcome in these patients. We will evaluate the prognostic values of TTNTs in all aEEG channels.

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Study Type : Observational [Patient Registry]
Actual Enrollment : 78 participants
Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration: 6 Months
Official Title: Neurological Prognostication Using Multi-channel Amplitude-integrated Electroencephalographic Monitoring in Cardiac Arrest Patients With Targeted Temperature Management
Actual Study Start Date : January 1, 2017
Actual Primary Completion Date : June 30, 2019
Estimated Study Completion Date : December 31, 2019

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Good neurological outcome
CPC 1 and 2 at 6 month after ROSC
Diagnostic Test: Multi-channel aEEG monitoring
18 channel aEEG monitoring in comatose TTM-treated patients

Poor neurological outcome
CPC 3 to 5 at 6 month after ROSC
Diagnostic Test: Multi-channel aEEG monitoring
18 channel aEEG monitoring in comatose TTM-treated patients




Primary Outcome Measures :
  1. Time to normal trace in each aEEG channel [ Time Frame: at day 180 ]
    Normal trace was defined as continuous cortical activity on the raw EEG scan; in addition, the upper margin of the aEEG scan, referred to as the aEEG maximum, was >10 μ V, and the lower margin of the aEEG scan, referred to as the aEEG minimum, was >5 μ V. The Time from ROSC to normal trace (TTNT, hours) is predictor of neurological outcome in these patients. We will evaluate the prognostic values of TTNTs in all aEEG channels.


Secondary Outcome Measures :
  1. TTNT threshold for neurologic prognostication in each aEEG channel [ Time Frame: at day 180 ]
    Using area under the curve (AUC) of each channel aEEG for neurological outcome, we will determine the best TTNT thresholds for good neurological outcome (CPC 1 to 2) in all aEEG channels.

  2. Alpha delta ratio of each channel aEEG for good neurological outcome (CPC 1 to 2) [ Time Frame: at day 180 ]
    The percentage powers in the alpha, theta and delta bands and the ratio of the powers in different frequency bands (i.e., alpha/delta) will be calculated. Finally we will evaluate the prognostic values of these ratios of the different bands.

  3. Comparison of prognostic value between aEEG and various predictors [ Time Frame: at day 180 ]
    We will compare the prognostic performances (i.e., sensitivity, specificity, AUC) for poor neurological outcome (CPC 3 to 5) between EEG and these predictors.



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Ages Eligible for Study:   19 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
TTM treated cardiac arrest patients
Criteria

Inclusion Criteria:

Comatose cardiac arrest TTM treatment Multi channel aEEG monitoring

Exclusion Criteria:

Cerebral origin cardiac arrest Known epilepsy


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03545828


Locations
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Korea, Republic of
Seoul St. Mary's hospital
Seoul, Korea, Republic of, 06591
Sponsors and Collaborators
Sang Hoon Oh
Investigators
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Study Director: Sang Hoon Oh Seoul St. Mary's Hospital
Additional Information:

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Responsible Party: Sang Hoon Oh, Associate Professor, Seoul St. Mary's Hospital
ClinicalTrials.gov Identifier: NCT03545828    
Other Study ID Numbers: MAEGIC-01
First Posted: June 4, 2018    Key Record Dates
Last Update Posted: September 26, 2019
Last Verified: September 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Product Manufactured in and Exported from the U.S.: Yes
Additional relevant MeSH terms:
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Heart Arrest
Heart Diseases
Cardiovascular Diseases