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Seizure Identification on the Intensive Care Unit (ICU)

Sponsor: Nottingham University Hospitals NHS Trust

NCT ID: NCT07136298

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Clinical Opinion (other)
How long the study runs
Study runs about 5 months (dates as stated)
About the drug or intervention
Clinical Opinion — other: Staff participants will be asked to review video clips of events captured during EEGs performed on the ICU and asked to state whether they think the event was an epileptic seizure or not, and what aspects of each event led them to that decision
Patient visit burden
Not specified by the sponsor
Type of study
Observing health over time
Ages
Not specified
Who
All
Number of participants
40
Started
2025-03-03
Last checked
2025-08

Plain English Summary

What is this study?

  • • Testing a new treatment for seizures
  • • Clinical study - 40 participants
  • • The aim of this project is to assess the ability of different groups of National Heath Service (NHS) professionals to correctly identify clinical seizures, and distinguish them from other movements commonly seen in the ICU environment, when shown digital video recordings only

Who can take part?

  • • Adults
  • • Diagnosed with seizures

Where?

  • • Nottingham - Nottingham University Hospitals

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The aim of this project is to assess the ability of different groups of National Heath Service (NHS) professionals to correctly identify clinical seizures, and distinguish them from other movements commonly seen in the ICU environment, when shown digital video recordings only. Patients on the ICU are at risk of having seizures, however also commonly make other movements, including shivering, jerking, tics and tremors. An Electroencephalogram (EEG) records the brain wave activity and can help distinguish epileptic seizures from other movements. In a study by Bendadis et al (2010), 52 video-EEGs were reviewed containing "possible seizures" on the ICU. They found only 27% recorded actual epileptic events, with the other 73% having a range of other movements. Malone et al (2009) studied accuracy of diagnosis of 20 video recordings of clinical episodes on the neonatal unit, comparing different staff groups. They found no significant difference between Doctors and Nurses in correctly identifying seizures, however found that accuracy of diagnosis was generally poor. Clinical scientists are currently expanding their roles and responsibilities across Neurophysiology, including giving consultant-level advice on EEG investigations. EEG recordings on the ICU are often obscured by excessive, unavoidable electrical/movement artefacts caused by equipment such ventilators and pumps, and patient factors such as position, breathing artefact and suctioning. These make the EEG difficult to interpret (Boggs 2021). Assessing the clinical signs and symptoms which we may see in ICU patients, in the absence of interpretable EEG, is an essential skill. This study aims to assess Clinical Scientists skills at clinical interpretation, in comparison with other staff groups in the ICU setting. Staff will be asked to watch video clips of events captured in the ICU, and tell us whether they think they are seizures or not, and explain their thought process behind the decision.

Seizures

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What we know so far

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Still need:

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: Not specified
  • Who can join: All genders

What the study is looking for

  • ✓Staff working at Nottingham University Hospitals (NUH) in one of the following staff groups;
  • ✓Neurophysiology Scientists/Clinical Physiologists at Band 7 level and above,
  • ✓Neurophysiologists who have completed the CCT in Neurophysiology with at least 1 year of Adult ICU experience.
  • ✓members of the Neurology medical team with at least 1 years' experience of covering ITU
  • ✓Intensivists with at least 1 year's experience working on the Adult intensive care unit

Who cannot take part

  • ✗Staff not employed by NUH i.e. agency staff
  • ✗Staff in other groups not mentioned above
See the full criteria
Inclusion Criteria: Staff working at Nottingham University Hospitals (NUH) in one of the following staff groups; * Neurophysiology Scientists/Clinical Physiologists at Band 7 level and above, * Neurophysiologists who have completed the CCT in Neurophysiology with at least 1 year of Adult ICU experience. * members of the Neurology medical team with at least 1 years' experience of covering ITU * Intensivists with at least 1 year's experience working on the Adult intensive care unit * Nursing staff working on the Intensive care unit with at least 1 year's experience Exclusion Criteria: * Staff not employed by NUH i.e. agency staff * Staff in other groups not mentioned above

Where Is This Study? (1 UK site)

Nottingham University Hospitals

Nottingham NG7 2UH, United Kingdom

Recruiting
Site contact (verified)

How to Get in Touch

James S Baird

Sponsor contact

CONTACT

01159709146 james.baird@nhs.net
Data sourced from ClinicalTrials.gov · Last verified: 2025-08