Actively Recruiting

Age: 18Years +
All Genders
NCT05321459

Predictive Outcome in Comatose Patients

Led by Assistance Publique - Hôpitaux de Paris · Updated on 2025-12-23

100

Participants Needed

7

Research Sites

236 weeks

Total Duration

On this page

Sponsors

A

Assistance Publique - Hôpitaux de Paris

Lead Sponsor

E

Ecole Normale Supérieure de Paris

Collaborating Sponsor

AI-Summary

What this Trial Is About

Evaluating the prognosis of comatose patients after cardiac arrest (CA) in the intensive care unit (ICU) remains challenging. It requires a multimodal approach combining standardized clinical examination, serum biomarkers, imaging and classically electrophysiological examinations, (among them auditive evoked potentials or AEP) but none has a sufficient sensitivity/specificity. In a preliminary study, the investigators developed an algorithm from the signal collected with AEP, and generated a probability map to visually classify the participants after the algorithm processing. Participants could be classified either with a good neurological prognosis or with bad neurological prognosis or death. The investigators hypothesize that the "PRECOM" tool, applied blindly to a large prospective multicenter cohort of patients admitted to intensive care for coma in the aftermath of CA will predict neurological prognosis at 3 months with high sensitivity and specificity.

CONDITIONS

Official Title

Predictive Outcome in Comatose Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age above 18 years old
  • Patient affiliated to a French Health Care Insurance
  • Admitted in the intensive care unit (ICU) for coma post extra- or intra-hospital cardiac arrest (CA) with shockable or non-shockable rhythm
  • Persistent coma on day 3 after post CA, defined by the inability to respond to a verbal command appropriately (motor Glasgow components  3) and at the time of neurophysiological recordings (D3-D7  1 week-end)
Not Eligible

You will not qualify if you...

  • Decision to limit resuscitation therapies taken by the resuscitation team
  • Inability to perform the auditory evoked potentials (AEP) due to deafness, skin lesion or any other condition preventing AEP recording
  • Opposition by the trusted person or by the patient once he/she wakes up

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 7 locations

1

APHP Avicenne Hospital - Réanimation médico-chirurgicale

Bobigny, France, 93000

Actively Recruiting

2

APHP Lariboisière Hospital, Clinical Physiology Department

Paris, France, 75010

Active, Not Recruiting

3

APHP Laribosière Hospital - Service de Réanimation Médical et Toxicologique

Paris, France, 75010

Actively Recruiting

4

APHP Cochin Hospital - médecine intensive-réanimation

Paris, France, 75014

Actively Recruiting

5

APHP HEGP hospital - Réanimation médicale

Paris, France, 75015

Actively Recruiting

6

APHP Bichat Hospital -Médecine intensive - réanimation infectieuse

Paris, France, 75018

Actively Recruiting

7

Delafontaine Hospital - médecine intensive-réanimation

Saint-Denis, France, 93200

Actively Recruiting

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Research Team

N

Nathalie KUBIS, Md, PhD

CONTACT

R

Romain SONNEVILLE, Md, PhD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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