Nonconvulsive Seizure Identification on Quantitative EEG by Neuro ICU Nurses

Completed

Conditions studied: Nonconvulsive Seizures

In brief

This research is being conducted to determine if Neuroscience intensive care unit (ICU) nurses are able to identify seizures by reviewing quantitative EEG (qEEG) that is running at the bedside. QEEG is the application of mathematical and analytical techniques to analyze EEG signals. Several hours of data can be displayed on a single screen in several graphical panels. Routine evaluation of EEG data consists of manual inspection of each page of EEG data by a trained neurophysiologist (a neuro ICU doctor) and can be quite time-consuming. In most cases, this data can only be reviewed intermittently and interpretation is almost always relayed to the primary clinical team after the seizures have occurred. Theoretically,qEEG graphical displays can provide a simplified view of complex EEG data that could possibly be used by non-neurophysiologists, such as Neuro ICU nurses. Our hypothesis is that Neuro ICU nurses are able to accurately identify recurrent seizures in real-time.

Key facts

Study ID

NCT02082873

Run by

Duke University

People needed

20

Starts

2015-01-01

Expected to finish

2019-02-01

Last updated by the study team

2019-05-17

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age of 18 years or older at time of consent
• Patients undergoing cEEG monitoring to evaluate for the presence of NCS
• Admission or pending transfer to the adult Neuro ICU
• Informed consent by patient or patient's legally authorized representative (LAR)
• One or more NCS identified on cEEG monitoring, confirmed by the clinical neurophysiology team

You may not qualify if…

• Anticipated discharge from NICU < 24 hours
• Anticipated duration of cEEG monitoring < 24 hours
• Suspected diagnosis of brain death
• Open head wound or bandage preventing application of majority of EEG electrodes
• Treating physician deems not appropriate for subject participation
• Seizures lasting more than 1 hour in duration
• Convulsive seizures without concern for NCS

Where it is running

• Duke University Medical Center — Durham, North Carolina, United States

Full record on ClinicalTrials.gov

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