ClinicalTrials.gg
CompletedNCT03470844PRiMeUpdated Mar 20, 2018

Perioperative Research Into Memory: Cognitive Outcome Following Major Burns

An observational study in Major Injury, sponsored by Chelsea and Westminster NHS Foundation Trust. Completed at 1 site in United Kingdom. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-03-20.

Sponsored by Chelsea and Westminster NHS Foundation Trust · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
32
Ages
16 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 13 studies in Cognition Disorders with a site in United Kingdom — none open to participants now, 1 under way, none of them phase 3. Cognition Disorders · United Kingdom.

Started
2015
the only one that year
Observational
6 of 13
none open now
Registered
9th of 13
by date
Lead sponsor
1 of 13
Chelsea and Westminster NHS Foundation Trust

Among the 13 studies in Cognition Disorders with a site in United Kingdom, this one is the only one that started in 2015, is one of 6 observational ones, and was the 9th registered.

Cognition Disorders

399 studies on the registry are indexed under Cognition Disorders; 73 are open to participants now.

Browse Cognition Disorders studies →

Open to participants now

None of the 13 studies in Cognition Disorders with a site in United Kingdom is open now. The open studies under Cognition Disorders, anywhere →

Who these studies take

Of the 46 Cognition Disorders studies recruiting now, 20 (43%) set no upper age limit and 11 (24%) stop at 75 or younger; 5 take children under 18; 13 take healthy volunteers.

This study: 16 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

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Download CSVNarrow it in search →With an account: the 13 studies in Cognition Disorders with a site in United Kingdom as a file.
02

Study summary

The long term survival of patients who require admission to critical care (CC) following a major burn injury (MBI) continues to improve with advanced clinical management. There has been increasing interest into cognitive dysfunction (CD) due to neuroinflammation (NI) following CC, anaesthesia, surgery, and the association of NI with diseases characterised by CD such as Alzheimer's disease. Patients who suffer a MBI and who subsequently require admission to CC will be at uniquely high risk for CD. MBI produces an exaggerated and prolonged systemic inflammatory response, with NI demonstrated in animal models. Additionally NI can be exaggerated by insults such as sepsis, anaesthesia, and surgical trauma, common and often necessary following MBI. The aim of this study is to identify CD using cognitive tests to examine for deficits in working memory and executive function. Test proposed to use are the Hopkins Verbal Learning and Verbal Fluency tests, and a validated computerised battery (CogState). Neuroinflammation and underlying pathophysiology using fMRI and spectroscopy, known to demonstrate biomarkers for CD and NI. QoL will be assessed using the validated EQ-5D tool.

The Inclusion criteria; patients who survive their burns injury (greater than 15% total body surface area) and require mechanical ventilation. Primary exclusion criteria; admission with toxic epidermal necrolysis syndrome, and evidence of head trauma.

Read the detailed description

This is a novel, proof of principle, prospective, cohort design, observational clinical study to assess for functional brain reorganisation, structural changes and long-term cognitive dysfunction following major burns injury and intensive care admission. The hypothesis is that following a major burns injury and intensive care admission patients will have neurocognitive dysfunction and demonstrable functional alterations seen on functional MRI due to neuroinflammation as a result of the primary injury and subsequent inflammatory insults.

03

Conditions studied

  • Major Injury

Keywords

  • Major burns
  • Intensive Care Medicine
  • Neurocognitive dysfunction
  • Functional magnetic resonance imaging
  • Neuroinflammation
  • Long term quality of life
04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients with severe burn injury admitted to a Burn Intensive Care Unit

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Survival following admission to Chelsea and Westminster Burns Intensive Care Unit between 2004-2013 with a burn injury > 15% total body surface area, requiring intubation and ventilation

Exclusion criteria

Exclusion Criteria:

  • Patients under 16.
  • Patients with toxic epidermal necrolysis syndrome or evidence of head trauma.
  • Patients with evidence of risk to psychological safety from inclusion in study: any patient currently held under section of the Mental Health Act, any patient receiving formal psychiatric treatment (including involvement in a Personality Disorder Unit, being under voluntary section, current re-occurrence of chronic self harm), any patient currently detained at her Majesty's pleasure, any current substance abuse, or at the discretion of professional opinion following historical assessment of notes. - Patients with to MRI (patients with non-compatible pacemakers, patients with metallic foreign bodies e.g. metal sliver in their eye, patients with non-compatible surgical metal work, patients with severe claustrophobia).
  • Patient refusal or inability to give full .
  • Patients unable to understand plain verbal or written English.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
32 participants (actual)
Patient registry
No

Groups and cohorts

  • 5-10 years post severe burn injury

    Interventions: * Face-to-face neurocognitive tests examining attention, processing speed, working memory and executive function. * Psychological screening for the symptoms of depression, anxiety and post-traumatic stress disorder using the patient health questionnaire (PHQ9), generalised anxiety (GAD7) scoring systems and the trauma screening questionnaire. * fMRI studies including resting state fMRI, T1w-mpr, T2w-FLAIR, Diffusion Tensor Imaging (DTI) with 30 directions, Spectroscopy CSI chemical shift imaging, Spectroscopy SVS single voxel, susceptibility weighted imaging (SWI), double inversion recovery (DIR) and Perfusion ASL. * Quality of Life Self-Assessment data.

    Behavioral: Face-to-face neurocognitive tests · Behavioral: Psychological screening · Other: fMRI · Behavioral: Quality of Life Self-Assessment data

  • 2-5 years post severe burn injury

    Interventions: * Face-to-face neurocognitive tests examining attention, processing speed, working memory and executive function. * Psychological screening for the symptoms of depression, anxiety and post-traumatic stress disorder using the patient health questionnaire (PHQ9), generalised anxiety (GAD7) scoring systems and the trauma screening questionnaire. * fMRI studies including resting state fMRI, T1w-mpr, T2w-FLAIR, Diffusion Tensor Imaging (DTI) with 30 directions, Spectroscopy CSI chemical shift imaging, Spectroscopy SVS single voxel, susceptibility weighted imaging (SWI), double inversion recovery (DIR) and Perfusion ASL. * Quality of Life Self-Assessment data.

    Behavioral: Face-to-face neurocognitive tests · Behavioral: Psychological screening · Other: fMRI · Behavioral: Quality of Life Self-Assessment data

  • 1-2 years post severe burn injury

    Interventions: * Face-to-face neurocognitive tests examining attention, processing speed, working memory and executive function. * Psychological screening for the symptoms of depression, anxiety and post-traumatic stress disorder using the patient health questionnaire (PHQ9), generalised anxiety (GAD7) scoring systems and the trauma screening questionnaire. * fMRI studies including resting state fMRI, T1w-mpr, T2w-FLAIR, Diffusion Tensor Imaging (DTI) with 30 directions, Spectroscopy CSI chemical shift imaging, Spectroscopy SVS single voxel, susceptibility weighted imaging (SWI), double inversion recovery (DIR) and Perfusion ASL. * Quality of Life Self-Assessment data.

    Behavioral: Face-to-face neurocognitive tests · Behavioral: Psychological screening · Other: fMRI · Behavioral: Quality of Life Self-Assessment data

  • Control

    Healthy age, gender, socioeconomic and educational level matched control. Interventions: * Face-to-face neurocognitive tests examining attention, processing speed, working memory and executive function. * Psychological screening for the symptoms of depression, anxiety and post-traumatic stress disorder using the patient health questionnaire (PHQ9), generalised anxiety (GAD7) scoring systems and the trauma screening questionnaire. * fMRI studies including resting state fMRI, T1w-mpr, T2w-FLAIR, Diffusion Tensor Imaging (DTI) with 30 directions, Spectroscopy CSI chemical shift imaging, Spectroscopy SVS single voxel, susceptibility weighted imaging (SWI), double inversion recovery (DIR) and Perfusion ASL. * Quality of Life Self-Assessment data.

    Behavioral: Face-to-face neurocognitive tests · Behavioral: Psychological screening · Other: fMRI · Behavioral: Quality of Life Self-Assessment data

Interventions

  • BehavioralFace-to-face neurocognitive tests

    Assessment of attention, processing speed, working memory and executive function

    Also known as: - Hopkins Verbal Learning and Verbal Fluency tests, - CogState computerised battery

  • BehavioralPsychological screening

    Screening for the symptoms of depression, anxiety and post-traumatic stress disorder

    Also known as: - Patient health questionnaire (PHQ9), - Generalised anxiety (GAD7) scoring systems, - Trauma screening questionnaire

  • OtherfMRI

    Brain volume, chemical markers, functional outcome

    Also known as: The functional MRI (fMRI) protocol includes:, - Resting state fMRI, - T1w-mpr, T2w-FLAIR, - Diffusion Tensor Imaging (DTI), - Spectroscopy, - Double inversion recovery (DIR) and Perfusion ASL

  • BehavioralQuality of Life Self-Assessment data

    EQ-5D will be converted into a utility score using standard EQ-5D UK tariffs

    Also known as: - EQ-5D

06

What researchers measure

Primary outcomes

  1. Neurocognitive function

    Specifically to investigate cognitive tasks using a battery of computerised tests.

    Time frame: 5 years

Secondary outcomes

  1. Neuroinflammatory changes analysis.

    Functional MRI scan

    Time frame: 5 years

Other outcomes

  1. Long-term quality of Life

    EQ-5D

    Time frame: 5 years

07

Study locations

1 site
  • The Burn Intensive Care Unit (BICU), Chelsea and Westminster Hospital
    London, SW10 9NH, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2015 to primary completion in Apr 2016, 8 months.

Of 43 non-industry observational studies under Cognition Disorders, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 89. This study's 8 months is below that.

Counting every sponsor, half of 44 studies reached it within 41 months; a quarter within 13 and three quarters within 89.

How these figures are worked out, and which studies are left out of them.

Registered
May 10, 2016
First posted
Mar 20, 2018
StartActual
Aug 5, 2015
Primary completionActual
Apr 30, 2016
CompletionActual
Oct 30, 2017
Last update
Mar 20, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 20, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03470844
Lead sponsor
Chelsea and Westminster NHS Foundation Trust
Collaborators
Imperial College Healthcare NHS Trust, University of Westminster
Responsible party
Marcela P. Vizcaychipi (Planned Care Surgery & Clinical Support Divisional Research Lead, Chelsea and Westminster NHS Foundation Trust) — Principal investigator
First posted
Mar 20, 2018
Start date
Aug 5, 2015
Primary completion
Apr 30, 2016
Completion
Oct 30, 2017
Last update
Mar 20, 2018

Study contacts

Marcela Vizcaychipi, MD PhD FRCA
study chair · Chelsea and Westminster Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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