Using Machine Learning and Biomarkers for Early Detection of Delayed Cerebral Ischemia

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-110
SponsorSahlgrenska University Hospital

About this trial

The overall goal of this project is to determine if machine learning and analysis of neurospecific biomarkers can enable early detection of upcoming or ongoing cerebral ischaemia in patients suffering from subarachnoid haemorrhage with altered consciousness due to cerebral injury or sedation. Analyses of heart rate variability, electroencephalgraphy,nearinfrared spectroscopy, cerebral autoregulation, and brain injury specific biomarkers in blood and cerebrospinal fluid will be performed.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Unable to consent,

Cardiac arrythmia,

Previous brain damage

Trial population

Adult people with aneurysmal subarachnoid hemorrhage

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • No intervention, observational study

    Other intervention

    No intervention

Treatment groups

1,500 Participants
are divided into 2 treatment groups
Group A: Delayed cerebral ischemia1 intervention
Group B: Non-delayed cerebral ischemia1 intervention

Trial outcomes

Primary outcomes

1

Early warning system

To develop a machine learning-based model that can identify patterns in signals obtained from HRV, NIRS, and EEG monitoring, which are consistent with upcoming cerebral ischemia and provide a warning about this to attending physicians. To define the specificity and time relation of neurospecific biomarkers in blood and cerebrospinal fluid in patients with subarachnoid haemorrhage with and without delayed cerebral ischemia to evaluate if any of these biomarkers can be used as an indicator for ongoing cerebral ischemia. To assess the prognostic value of changes in physiological and neurospecific biomarkers changes during the acute phase after subarachnoid hemorrhage on long-term outcome.

Time frame
2023-2033
2

Autoregulation

xyz

Time frame
2023-2033

Secondary outcomes

Other outcomes

Sponsors and contacts

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