Intelligent Physiological Monitoring to Predict Preterm Brain Injury

NCT07880431 — Enrolling by invitation, 413 participants, University College Cork

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Intelligent Physiological Monitoring of Preterm Infants to Predict Brain Injury Associated With CP and With Confirmed CP in the First Days After Birth

RegistryNCT07880431, acronym AI4NICU
StatusEnrolling by invitation
Study typeObservational
Enrollment413 (Estimated)
SponsorUniversity College Cork (Other); collaborators: Cerebral Palsy Foundation, Science Foundation Ireland
ConditionsCerebral Palsy (CP), Intraventricular Hemorrhage Neonatal, Periventricular Leukomalacia, Neurodevelopmental Delay
InterventionsEEG, NIRS (Diagnostic test)
Datesstart 2026-04-13, primary completion 2027-12-01 (estimated), completion 2029-10-01 (estimated), first posted 2026-10-19, last updated 2026-10-19
Locations1 site in Ireland

Related Papers Related Patents Related Grants Related Experts
All trials for Cerebral Palsy (CP) All trials for Intraventricular Hemorrhage Neonatal All trials of EEG All trials of NIRS

-Summary

Cerebral palsy (CP) remains prevalent among very (28-31 weeks) and extremely (<28 weeks) preterm infants. Prematurity-related brain injuries (high-grade intraventricular haemorrhage, IVH or periventricular leukomalacia, PVL) develop usually during the first few days after birth and are a strong predictor of CP. Development of IVH or PVL have been linked to hemodynamic instability. Artificial intelligence (AI) provides an opportunity to detect patterns from continuous physiological monitoring data that are associated with prematurity-related brain injury. A dataset of extremely preterm infants will be collated from previous INFANT Research Centre study cohorts. A separate but aligned anonymous dataset will be obtained from the University of Graz. Continuous physiological monitoring data will be analyzed with AI algorithms to identify infants with the highest risk of brain injury.

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+Arms and interventions

ArmTypeInterventionsDescription
Very Preterm InfantsDiagnostic Test: EEG; Diagnostic Test: NIRSVery Preterm Infants that had early neuromonitoring
  • EEG (Diagnostic test): During the first 72 hours after birth
  • NIRS (Diagnostic test): During the first 72 hours after birth

+Outcome measures

Primary outcomes

  • Early brain injury or death [Within 36 weeks of gestation]: IVH, PVL or death
  • Cerebral palsy (CP) [At 3 years]: CP diagnosis

+Eligibility

Sex: All, ages: any to 5 Days

Inclusion Criteria:

* Neonates with GA of 23 weeks 0 days to 31 weeks 6 days born between 01 JAN 2009 and 31 DEC 2021 and enrolled in any of the six previously collected INFANT study cohorts or in the University of Graz study.
* Documented parental informed consent for the previously conducted study data to be used in the future for related research.

Exclusion Criteria:

* Congenital malformation or genetic syndrome.
* Lack of parental consent for the original study data to be used for future related research.

+Locations (1)

FacilityCityCountryStatus
University College CorkCork, CorkIreland

+Investigators