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    HP:0001298: Encephalopathy

    Developed by Shray Alag, The Harker School
    Sections: Correlations, Clinical Trials, and HPO

    Correlations computed by analyzing all clinical trials.

    Navigate: Clinical Trials and HPO


    Correlated Drug Terms (20)


    Name (Synonyms) Correlation
    drug904 Chloroquine Wiki 0.51
    drug1316 EP Wiki 0.45
    drug805 CT-scan Wiki 0.45
    Name (Synonyms) Correlation
    drug4325 YinHu QingWen Decoction Wiki 0.45
    drug4756 standard western medicine treatment Wiki 0.45
    drug844 Cannabis, Medical Wiki 0.45
    drug705 CICI - Feasibility trial study group Wiki 0.45
    drug3159 Pulse oximetry Wiki 0.45
    drug4326 YinHu QingWen Decoction(low dose) Wiki 0.45
    drug900 Chinese medicine treatment Wiki 0.45
    drug1302 EEG Wiki 0.45
    drug1564 Follow up Wiki 0.32
    drug1806 Hydroxychloroquine Sulfate Regular dose Wiki 0.32
    drug1805 Hydroxychloroquine Sulfate Loading Dose Wiki 0.32
    drug617 Blood tests Wiki 0.32
    drug492 BNT162b1 Wiki 0.26
    drug1265 Doxycycline Wiki 0.20
    drug2029 Ivermectin Wiki 0.10
    drug2981 Placebo oral tablet Wiki 0.08
    drug2916 Placebo Wiki 0.04

    Correlated MeSH Terms (29)


    Name (Synonyms) Correlation
    D001927 Brain Diseases NIH 1.00
    D020196 Trauma, Nervous System NIH 0.45
    D000070627 Chronic Traumatic Encephalopathy NIH 0.45
    Name (Synonyms) Correlation
    D005879 Tourette Syndrome NIH 0.45
    D001714 Bipolar Disorder NIH 0.32
    D000690 Amyotrophic Lateral Sclerosis NIH 0.26
    D012640 Seizures NIH 0.26
    D016472 Motor Neuron Disease NIH 0.26
    D001930 Brain Injuries, NIH 0.25
    D000755 Anemia, Sickle Cell NIH 0.22
    D005356 Fibromyalgia NIH 0.20
    D003693 Delirium NIH 0.20
    D014947 Wounds and Injuries NIH 0.15
    D000070642 Brain Injuries, Traumatic NIH 0.15
    D010300 Parkinsonian NIH 0.15
    D015212 Inflammatory Bowel Diseases NIH 0.15
    D003424 Crohn Disease NIH 0.13
    D059350 Chronic Pain NIH 0.12
    D016638 Critical Illness NIH 0.11
    D009103 Multiple Sclerosis NIH 0.11
    D012598 Scoliosi NIH 0.10
    D040921 Stress Disorders, Traumatic NIH 0.08
    D013313 Stress Disorders, Post-Traumatic NIH 0.07
    D004194 Disease NIH 0.07
    D013577 Syndrome NIH 0.04
    D003141 Communicable Diseases NIH 0.03
    D007239 Infection NIH 0.02
    D045169 Severe Acute Respiratory Syndrome NIH 0.02
    D018352 Coronavirus Infections NIH 0.02

    Correlated HPO Terms (7)


    Name (Synonyms) Correlation
    HP:0100754 Mania HPO 0.32
    HP:0006802 Abnormal anterior horn cell morphology HPO 0.26
    HP:0007354 Amyotrophic lateral sclerosis HPO 0.26
    Name (Synonyms) Correlation
    HP:0001250 Seizure HPO 0.22
    HP:0002037 Inflammation of the large intestine HPO 0.15
    HP:0100280 Crohn's disease HPO 0.13
    HP:0012532 Chronic pain HPO 0.12

    Clinical Trials

    Navigate: Correlations   HPO

    There are 5 clinical trials


    1 Outcomes Mandate National Integration With Cannabis as Medicine for Prevention and Treatment of COVID-19

    This will be a multistate, multicenter clinical study to determine the efficacy and safety of medical cannabis for a wide variety of chronic medical conditions.

    NCT03944447
    Conditions
    1. Chronic Pain
    2. Chronic Pain Syndrome
    3. Chronic Pain Due to Injury
    4. Chronic Pain Due to Trauma
    5. Fibromyalgia
    6. Seizures
    7. Hepatitis C
    8. Cancer
    9. Crohn Disease
    10. HIV/AIDS
    11. Multiple Sclerosis
    12. Traumatic Brain Injury
    13. Sickle Cell Disease
    14. Post Traumatic Stress Disorder
    15. Tourette Syndrome
    16. Ulcerative Colitis
    17. Glaucoma
    18. Epilepsy
    19. Inflammatory Bowel Diseases
    20. Parkinson Disease
    21. Amyotrophic Lateral Sclerosis
    22. Chronic Traumatic Encephalopathy
    23. Anxiety
    24. Depression
    25. Insomnia
    26. Autism
    27. Opioid-use Disorder
    28. Bipolar Disorder
    29. Covid19
    30. SARS-CoV Infection
    31. COVID-19
    32. Corona Virus Infection
    33. Coronavirus
    Interventions
    1. Drug: Cannabis, Medical
    MeSH:Infection Communicable Diseases Coronavirus Infections Severe Acute Respiratory Syndrome Fibromyalgia Crohn Disease Inflammatory Bowel Diseases Parkinson Disease Multiple Sclerosis Brain Injuries Brain Injuries, Traumatic Seizures Motor Neuron Disease Amyotrophic Lateral Sclerosis Brain Diseases Tourette Syndrome Chronic Traumatic Encephalopathy Anemia, Sickle Cell Disease Syndrome Sclerosis Chronic Pain Wounds and Injuries Stress Disorders, Traumatic Bipolar Disorder Stress Disorders, Post-Traumatic
    HPO:Abnormal anterior horn cell morphology Amyotrophic lateral sclerosis Bilateral tonic-clonic seizure Bipolar affective disorder Chronic pain Crohn's disease Encephalopathy Focal-onset seizure Generalized-onset seizure Inflammation of the large intestine Mania Seizure

    Primary Outcomes

    Description: Covid-19 infection rates in cannabis users will be compared to rates in the general population. Our online questionnaire responses will compare infection rates of cannabis users in this study against the Johns Hopkins University Coronavirus Research Center data (https://coronavirus.jhu.edu).

    Measure: Prevention of COVID-19

    Time: Five years

    Description: Severity of persistent symptoms in cannabis users testing positive for active infection and/or antibodies will also be compared to the general population. Patients will answer the widely used FLU-PRO questionnaire, which asks about flu symptoms and severity, to capture diagnoses, symptoms, and medical interventions related to COVID-19. The data from cannabis user patients will be compared with national and international data surveys, such as the Covid Symptom Study (https://covid.joinzoe.com/us-2).

    Measure: Treatment of COVID-19

    Time: Five years

    Description: The primary objective is to assess the efficacy and safety of medical cannabis as medicine for treatment of chronic pain and other chronic debilitating diseases. Pain will be measured by Brief Pain Inventory (BPI) numeric scale. Change from baseline in BPI will be assessed at 3-month intervals. For prospective associations between cannabis use and outcomes, use of a lagged mixed-effects models will examine temporal associations between cannabis use and pain severity, opioid sparing, and patient satisfaction. Data will be analyzed from baseline and the annual follow-up waves.

    Measure: Treatment of Symptoms

    Time: Five years

    Secondary Outcomes

    Description: Secondary objectives include evaluating increases or decreases in quality of life, and increases or decreases in concomitant opioid use. Satisfaction with treatment will be measured by a Visual Analog Score (VAS). Change From baseline in Satisfaction with treatment measured by (VAS) be assessed at 3-month intervals.

    Measure: Cannabis Impact on Quality of Life

    Time: Five years

    Description: Tertiary objectives will examine preferences for routes of administration, and preferences for THC / CBD ratios. Categorical factors will be summarized using frequencies and percentages, while continuous measure distributions will be described using means, standard deviations, and quartiles of interest.

    Measure: Cannabis Route and Dosing

    Time: Five years

    Description: Incidence of Treatment-Related Adverse Events will be measured by Physician Global Assessment (PGA) numeric scale. Number of participants with Treatment-Related Adverse Events will be assessed by CTCAE v4.0.

    Measure: Monitoring Adverse Events

    Time: Five years
    2 The Child-In-Context-Intervention (CICI): The Feasibility of a Study Protocol for Treatment of Chronic Symptoms of Pediatric Acquired Brain Injury

    Children with acquired brain injury (ABI) often struggle with complex impairments, including cognitive (such as memory and attention), social, emotional and behavioral challenges. There is broad agreement that there is a lack of evidence-based knowledge about rehabilitation for children with ABI in the chronic phase. The current study is a feasibility study of a planned randomized controlled trial (RCT), the CICI-intervention, directed towards children with ABI and their families in the chronic phase. The feasibility study aims to evaluate the study protocol, the assessment procedures and the technical solutions prior to performing the RCT. A feasibility study with six participating children and families will be conducted in close collaboration with schools and local health care providers. The intervention to be tested (the CICI-intervention) focuses on the child's and family's individually identified target outcome areas to be addressed, with corresponding rehabilitation goals. The intervention aims to enhance everyday functioning in the home and school environment by reducing ABI-related symptoms, and by attaining rehabilitation goals in areas noted as challenging by the participants. In the future RCT-study the efficacy of the CICI-intervention will be measured in terms of goal attainment, community participation, cognitive, behavioral, social, and family functioning.

    NCT04186182
    Conditions
    1. Brain Injuries
    2. Brain Diseases
    3. Family
    4. Child
    Interventions
    1. Behavioral: CICI - Feasibility trial study group
    MeSH:Brain Injuries Brain Diseases Wounds and Injuries
    HPO:Encephalopathy

    Primary Outcomes

    Description: The therapists will monitor discrepancies between intervention delivery and the CICI-manual by using extensive checklists relating to each of the intervention sessions. The number of non-delivered treatment components will be counted, and the percentage of deviation will be calculated compared to the total number of treatment components. High feasibility: 15 % deviation or less, Moderate feasibility: 15-25 % deviation, Low feasibility: > 25 % deviation

    Measure: Protocol adherence assessed by study-specific checklists

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Responsiveness subscale (6 items) on the Acceptability Scale, rated by the child, will determine child responsiveness. The responsiveness subscale consists of the following items (the wording adapted to the child's age): I would recommend participating in the study to others, the therapist was warm and understanding, I trusted the therapist, I had the opportunity to state my opinions about the therapist's suggestions, my opinions were taken seriously, I was given sufficient information during the study about the work we were doing. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: Child Responsiveness to the intervention assessed by ratings on the study specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Responsiveness subscale (6 items) on the Acceptability Scale, rated by the caregiver, will determine caregiver responsiveness. The responsiveness subscale consists if the following items: I would recommend participating in the study to others, the therapist was warm and understanding, I trusted the therapist, I had the opportunity to state my opinions about the therapist's suggestions, my opinions were taken seriously, I was given sufficient information during the study about the work we were doing. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: Caregiver Responsiveness to the intervention assessed by ratings on the study specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Usefulness subscale (6 items) in the Acceptability Scale will determine perceived usefulness of the intervention. The child version of the usefulness subscale consists of the following items: The program has helped me, the program has helped my family, I would recommend participating in the program to others, I have learned something new that helps me, I have learned more about what I struggle with after the injury, I have learned what I can say to others about what I struggle with due to the injury. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: a. Usefulness of the intervention assessed by child ratings on the study-specific Acceptability Scale for this study

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the Usefulness subscale (9 items) in the Acceptability Scale will determine perceived usefulness of the intervention. The caregiver version of the usefulness subscale consists of the following items: The program has helped my child, the program has helped my family, the program has helped me, I would recommend participating in the program to others, I have gained more insight into my child´s challenges, I will use my new knowledge in the future, I have used my new knowledge in other settings, I found it useful to meet other families who are in a similar situation as we are, the school meetings were useful. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: b. Usefulness of the intervention assessed by caregiver ratings on the study-specific Acceptability Scale for this study.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Secondary Outcomes

    Description: The therapist will log consent rate of families and schools. High feasibility: ≥ 30%, Moderate feasibility: 15-29%, Low feasibility: <15%

    Measure: Recruitment procedures assessed by a) consent rate

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Therapist will record duration of recruitment procedures, hereunder the telephone screening interview and other telephone calls. High feasibility: 3 hours or less, Moderate feasibility: ˃3 and ≤5 hours, Low feasibility: >5 hours

    Measure: Recruitment procedures assessed by b) duration of phone calls and screening interview per family

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: High feasibility: One family excluded at or after baseline, Moderate feasibility: Two families excluded at or after baseline, Low feasibility: More than two families excluded at or after baseline

    Measure: Recruitment procedures assessed by c) the number of participants excluded at or after baseline

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Description: Number of families out of six that participate in the first intervention meeting (after baseline) and complete the entire intervention. High feasibility: Six families completed the intervention, Moderate feasibility: Five families completed the intervention, Low feasibility: Four or fewer families completed the intervention

    Measure: Recruitment procedures assessed by d) the number of families that completed the whole intervention

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the following four items in the Acceptability Scale will determine the child burden of the assessment protocol: If the child was comfortable being tested and if the child was comfortable expressing his/her symptoms and opinions through the questionnaires, if the child understood the questionnaires and if the assessment made the child tired. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The burden of the assessment protocol for the child, reported by the child on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The total mean score on the following four items in the Acceptability Scale will determine the child burden of the assessment protocol perceived by the caregiver: If the child was comfortable being tested, if the child was comfortable expressing his/her symptoms and opinions through the questionnaires, if the child understood the questionnaires and if the assessment made the child tired. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The burden of the assessment protocol for the child, reported by caregivers on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The following item in the Acceptability Scale will determine the caregiver burden of the assessment protocol: There were too many questionnaires. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The burden of the assessment protocol for the caregivers, reported by caregivers on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The caregivers' perceived relevance of the topics in caregiver-questionnaires will be measured with two items on the Acceptability Scale: I was able to give important information through the questionnaires, the questionnaires were not relevant for me. Mean score will be calculated. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: Caregiver reported relevance of topics in questionnaires

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The therapist will record the duration of the baseline assessment through logs. High feasibility: ≤ 3hours, Moderate feasibility: ˃3 hours and ˂4 hours, Low feasibility: ≥4 hours

    Measure: Therapist reported burden of the baseline assessment measured by the duration of the assessment.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The perceived relevance of working with SMART-goals for the caregivers will be measured with three items on the Acceptability Scale ("The goals we set were important", "The strategies we used for working towards the goals have helped my family", "The strategies we used for working towards the goals have helped my child"). Mean score will be calculated. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The perceived relevance of working with SMART-goals as rated by caregivers on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree"). The perceived relevance of working with SMART-goals for the child will be measured with one item on the Acceptability Scale ("The goals we set were important"). High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2.

    Measure: The perceived relevance of working with SMART-goals rated by the child on the study-specific Acceptability Scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The therapist records the number of sessions interrupted due to technical failure, per family. High feasibility: Restart of equipment in 0-1 sessions per family, Moderate feasibility: Restart of equipment in 2-3 sessions per family, Low feasibility: Restart of equipment in 4-5 sessions per family.

    Measure: Therapist-recorded technical failures in using videoconference in treatment delivery assessed by a study-specific log.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The therapist will record the time spent on installing the technical equipment for video conference use, including software, per family. High feasibility: Installment completed in ≤ 20 minutes in one go, Moderate feasibility: Installment completed in > 20 minutes in one go, Low feasibility: Additional visit required to complete installment.

    Measure: Therapist-recorded time spent on installment of the equipment for using videoconference in treatment delivery

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: The study-specific acceptability Scale is rated on a scale from 0 ("Completely disagree") to 4 ("Completely agree") and includes one question concerning the quality of communication through videoconference. The wording is adapted to the children's age, and the children, their parents, and the therapists will rate the question. The mean score will be calculated. High feasibility: Mean score ≥ 3 ("Agree"), Moderate feasibility: Mean score ≥ 2 and < 3, Low feasibility: < 2 on the item assessing quality of communication through videoconference.

    Measure: Experienced quality of communication in using videoconference in treatment delivery, assessed by the Acceptability scale.

    Time: Will be evaluated after the intervention period, i.e. 4-5 months after inclusion.

    Description: Explored topics: responsiveness to the intervention, usefulness of the intervention, the perceived relevance of working with SMART-goals, and experienced quality of communication in using videoconference in treatment delivery.

    Measure: Semi-structured qualitative interviews with all participating children, caregivers and teachers will be conducted to elaborate aspects of feasibility as described above.

    Time: Will be performed after the intervention period, i.e. 4-5 months after inclusion.
    3 Outcomes in Patients With Acute Encephalopathy and SARS-Cov-2 Infection

    Infection with SARS-CoV-2 or severe acute respiratory syndrome coronarvirus type 2 was highlighted in December 2019 in the city of Wuhan in China, responsible for an pandemic evolution since March 11, 2020. The infection affects all ages of life, although affecting children in a very small proportion of cases. The typical presentation of the disease combines fever (98%), cough (76%), myalgia and asthenia (18%) as well as leukopenia (25%) and lymphopenia (63%). Upper airway involvement rare. The main clinical presentation requiring hospitalization of infected patients is that of atypical pneumonia which may require critical care management (27%), and progress to an acute respiratory distress syndrome (67%) involving life-threatening conditions in almost 25% of patients diagnosed with SARS-CoV-2 infection. Other organ damage have been reported, mainly concerning kidney damage (29%) which may require renal replacement therapy in approximately 17% of patients. Neurological damage has been very rarely studied, yet reported in 36% of cases in a study including patients of varying severity. Finally, the mortality associated with this emerging virus is high in patients for whom critical care management is necessary, reported in 62% of patients. We therefore propose a prospective observational study which aim at reporting the prevalence of acute encephalopathy at initial management in Critical/Intensive care or Neurocritical care , to report its morbidity and mortality and to identify prognostic factors.

    NCT04320472
    Conditions
    1. COVID-19
    2. Encephalopathy
    3. Critically Ill
    Interventions
    1. Other: Follow up
    MeSH:Brain Diseases Critical Illness
    HPO:Encephalopathy

    Primary Outcomes

    Description: ratio of patients with acute encephalopathy among the total of patients with SARS-Cov-2 infection at Critical/Intensive care or Neurocritical care admission

    Measure: prevalence

    Time: at Critical/Intensive care or Neurocritical care admission

    Secondary Outcomes

    Description: A favorable outcome is defined by a Glasgow Outcome Scale (GOS) of 5. The Glasgow Outcome Scale (GOS) will be determined patients charts review, phone call, and/or general practitioner interview conducted by an independent assessor. The GOS score : [1: Death, 2: Persistent vegetative state, 3: Severe disability, 4: Moderate disability, 5 : Low disability]

    Measure: Favorable outcome

    Time: 3 months

    Description: A favorable outcome is defined by a Glasgow Outcome Scale Extended (GOSe) >= 5. The Glasgow Outcome Scale Extended (GOSe) will be determined patients charts review, phone call, and/or general practitioner interview conducted by an independent assessor. The GOSe score : [1: Death, 2: Persistent vegetative state, 3: Severe disability Lower, 4: Severe disability Upper, 5: Moderate disability Lower, 6: Moderate disability Upper, 7 : Good recovery lower, 8 : Good recovery Upper]

    Measure: Favorable outcome

    Time: 3 months
    4 Biomarker-guided Assessment of Neurocognitive Impairment in Patients With COVID-19 - a Multicenter Case-control Study

    Delirium and acute neurocognitive impairment are increasingly observed in adult and pediatric patients with COVID-19. Prospective clinical studies combining clinical and laboratory examinations including specific biomarkers of neuroaxonal injury were not performed for COVID-19. The value of biomarkers of neuroaxonal injury was proven in preliminary studies. These biomarkers could thus contribute to the systematic detection of neurocognitive impairment in patients with COVID-19. Due to worldwide increasing numbers of hospitalized patients with COVID-19, biomarkers of neuroaxonal injury are highly valuable to detect and monitor cognitive impairment, especially with regard to limited resources available to perform time-consuming brain imaging. Biomarkers of neuroaxonal injury are therefore not only of great interest to detect neurocognitive impairment but also to quantify the severity of brain injury in patients with COVID-19.

    NCT04359914
    Conditions
    1. Critical Illness
    2. COVID-19
    3. Central Nervous System Injury
    4. Delirium
    5. Encephalopathy
    MeSH:Delirium Brain Diseases Trauma, Nervous System Critical Illness
    HPO:Encephalopathy

    Primary Outcomes

    Description: Assessment of neurocognitive impairment using validated tools

    Measure: Incidence of delirium/neurocognitive impairment in adult and pediatric patients with COVID-19 compared to patients without COVID-19

    Time: Day 90

    Description: Measurement of biomarker levels (e.g. NSE, S100B, neurofilament proteins) derived from blood samples

    Measure: Change in neuroaxonal injury biomarker levels in patients with COVID-19 compared to patients without COVID-19

    Time: Change from baseline biomarker levels at day 28

    Description: Assessment of the neurocognitive performance of patients using validated tests (e.g. Short Blessed Test)

    Measure: Neurocognitive 3-months outcome in patients with COVID-19 compared to patients without COVID-19

    Time: Day 90

    Description: Assessment of the change in the neurocognitive performance of patients using validated tests (e.g. IQCODE)

    Measure: Neurocognitive 3-months outcome in patients with COVID-19 compared to patients without COVID-19

    Time: Change from baseline IQCODE results at day 90

    Secondary Outcomes

    Description: Assessment of the overall quality of life using validated tests [e.g. Modified Rankin Scale with a range from 0 (no symptoms) to 6 (dead)]

    Measure: Quality of life in patients with COVID-19 compared to patients without COVID-19 after hospital discharge

    Time: Day 90

    Description: Cumulative days in hospital

    Measure: Length of hospital stay in patients with COVID-19 compared to patients without COVID-19

    Time: 1 year

    Description: Survival after 90 days

    Measure: 90-day survival in patients with COVID-19 compared to patients without COVID-19

    Time: Day 90
    5 Determination of Acute Encephalopathy Predictors in Patients With COVID-19

    The SARS-CoV-2 infection was detected in December 2019 in Wuhan City, China. The infection affects all age groups, although childhood is the lowest proportion of those affected. The main clinical manifestations that require hospitalization of infected patients are SARS pneumonia, which may require treatment in the intensive care unit (27%) and its progression into acute respiratory distress syndrome (67%) with life-threatening conditions in almost 25% of patients diagnosed with "SARS-CoV-2 infection". Nervous system damage with SARS-CoV-2 infection has been practically not investigated, but neurological disorders have been reported in 36% of these patients. Finally, the mortality rate associated with the new virus is high in patients who require treatment in intensive care units (62% of cases). Therefore, we are conducting a prospective study to identify acute encephalopathy predictors in patients with COVID-19.

    NCT04405544
    Conditions
    1. Encephalopathy
    2. COVID
    Interventions
    1. Diagnostic Test: CT-scan
    2. Diagnostic Test: EEG
    3. Diagnostic Test: EP
    4. Diagnostic Test: Pulse oximetry
    5. Diagnostic Test: Blood tests
    MeSH:Brain Diseases
    HPO:Encephalopathy

    Primary Outcomes

    Description: The percentage of patients who have developed encephalopathy

    Measure: The percentage of patients who have developed encephalopathy

    Time: 10 days

    HPO Nodes


    HP:0001298: Encephalopathy
    Genes 361
    SCN3A CACNA1B AP2M1 TBC1D24 KCNA2 ARX PNPO TRNL1 NDUFS6 SCN1B NRXN1 DPM2 CNPY3 RNASEH2C PCCA TRIT1 SCN8A SPTAN1 NDUFB3 EEF1A2 GRIN1 DNM1L ACTL6B PRNP KMT2E KCNA2 TIMM50 PARS2 NRXN1 CDK19 PTPN23 GABRG2 NDUFV1 CHD2 SYNJ1 GBA ATP1A3 SLC35A2 PIGA NDUFS7 FBLN1 TBCE NUS1 PNPT1 RINT1 CPLX1 ZNHIT3 WWOX COX3 CYTB FBXL4 ATP5F1D TUFM SYNGAP1 PPP3CA SCN1A SERPINI1 GPR35 NDUFS2 D2HGDH SIK1 TBCE SLC25A1 FRRS1L FADD NDUFS6 DOCK7 TRNQ TRNQ FCSK SYNJ1 LIAS COX2 RANBP2 SLC25A20 AP3B2 ATAD1 GLS CACNA1A TMEM70 NECAP1 ND1 GCDH SYNGAP1 PNPO GABRB2 FGF12 ATP5F1A GRIN2D NDUFS3 NDUFA1 NDUFA11 PMPCB TRNF NDUFAF2 NDUFAF4 SLC2A1 GABRA2 TCF4 SLC13A5 DLD ACSF3 TRAK1 EEF1A2 NAGS ETHE1 CLCN4 TRAK1 AMACR SCN3A PARS2 HIBCH TRNH PHACTR1 SUCLA2 NDUFS8 NDUFAF4 GNAO1 NDUFV2 FOXRED1 NEUROD2 AMT SLC22A5 XIAP ACOX1 TSFM CUX2 COX3 CYFIP2 RNF13 GPT2 ST3GAL3 DGUOK CACNA1B ND1 CPT2 NDUFB10 ND1 GABBR2 NDUFS4 UBA5 NAXD HCN1 COQ9 NTRK2 GUF1 SLC19A3 ACY1 TBCD SCN2A ACAD9 SLC12A3 UGT1A1 CPT1A SZT2 ADAM22 SLC13A5 CLP1 NDUFAF3 GABRB1 NDUFS4 NDUFS3 GABRB3 TRNW CARS2 PSAP GABRA5 KCNQ2 CARS2 NBAS AARS1 TRNS2 SLC19A3 DCX SUCLG1 CAD CLCNKB ATAD3A TRNS2 TRNS1 SLC35A1 HADH KYNU COQ2 NOTCH3 COX2 CPT2 TREX1 ROGDI TK2 MECP2 NDUFAF2 ND3 TRNK DHDDS GABRB3 NDUFS1 SH2D1A GALC GBA NADK2 DNM1 TRNV ACAD9 UNC80 NDUFV2 ND4 CDKL5 TMEM126B BSCL2 ACY1 WWOX MPC1 ND5 NDUFB3 ARHGEF9 ARHGEF9 NDUFAF1 CACNA1A PACS2 SLC6A1 NDUFS7 KCNB1 SLC25A15 FADD CCDC88A GRIN2D NUS1 KCNA2 SCN8A NDUFAF8 SLC25A15 DNM1 FGF12 CYFIP2 COX1 SERAC1 UBA5 DALRD3 SCN1A DENND5A YWHAG ND6 PAFAH1B1 COG8 STAG1 MST1 CYC1 HADH MAPK10 SIK1 BSCL2 NDUFA6 ATP6V1A DHDDS CNKSR2 RNASEH2B GABRB2 MDH2 ALMS1 TIMMDC1 UGDH BCS1L NDUFAF5 LIPT2 TWNK PLCB1 TRNK RANBP2 GABRG2 COX15 SZT2 HTRA1 CUX2 CHD2 GLUL PNKP COG8 CACNA2D2 KCNQ2 LYRM7 ARV1 ASNS ETHE1 STXBP1 SLC25A22 CNTNAP2 SLC6A9 ARV1 TRNW GLYCTK TH TRNC CACNA1E SLC1A2 IBA57 CLTC PIGP TBCK ND6 WDR45 STAT2 HMGCL HNRNPU KCNQ5 KCNT1 GLDC NDUFA11 SLC25A13 MEF2C SLC25A12 SLC25A22 AP3B2 TCF4 NTRK2 TRNF KCNB1 PCCB NDUFB11 GCSH KYNU NDUFAF1 DNM1 ND2 NADK2 ND5 NAXE GRIN2B ATP6V1A ATP5F1A SLC1A2 HCN1 NUBPL ALG9 SCN2A NDUFB9 KCNT2 TSEN54 MTHFR AARS1 DLD GABRA1 TRNL1 TRAPPC12 NECAP1 PCK1 COX1 TGFB1 TBC1D24 BOLA3 NDUFA6 COQ4 STXBP1 CHD2 ITPA CLPB TRNS1 RNF13 SLC22A5 MDH1 PPP3CA
    Protein Mutations 1
    A3243G
    SNP 0

    HPO

    Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials


    HPO Nodes


    HP:0001298: Encephalopathy
    Genes 361
    SCN3A CACNA1B AP2M1 TBC1D24 KCNA2 ARX PNPO TRNL1 NDUFS6 SCN1B NRXN1 DPM2 CNPY3 RNASEH2C PCCA TRIT1 SCN8A SPTAN1 NDUFB3 EEF1A2 GRIN1 DNM1L ACTL6B PRNP KMT2E KCNA2 TIMM50 PARS2 NRXN1 CDK19 PTPN23 GABRG2 NDUFV1 CHD2 SYNJ1 GBA ATP1A3 SLC35A2 PIGA NDUFS7 FBLN1 TBCE NUS1 PNPT1 RINT1 CPLX1 ZNHIT3 WWOX COX3 CYTB FBXL4 ATP5F1D TUFM SYNGAP1 PPP3CA SCN1A SERPINI1 GPR35 NDUFS2 D2HGDH SIK1 TBCE SLC25A1 FRRS1L FADD NDUFS6 DOCK7 TRNQ TRNQ FCSK SYNJ1 LIAS COX2 RANBP2 SLC25A20 AP3B2 ATAD1 GLS CACNA1A TMEM70 NECAP1 ND1 GCDH SYNGAP1 PNPO GABRB2 FGF12 ATP5F1A GRIN2D NDUFS3 NDUFA1 NDUFA11 PMPCB TRNF NDUFAF2 NDUFAF4 SLC2A1 GABRA2 TCF4 SLC13A5 DLD ACSF3 TRAK1 EEF1A2 NAGS ETHE1 CLCN4 TRAK1 AMACR SCN3A PARS2 HIBCH TRNH PHACTR1 SUCLA2 NDUFS8 NDUFAF4 GNAO1 NDUFV2 FOXRED1 NEUROD2 AMT SLC22A5 XIAP ACOX1 TSFM CUX2 COX3 CYFIP2 RNF13 GPT2 ST3GAL3 DGUOK CACNA1B ND1 CPT2 NDUFB10 ND1 GABBR2 NDUFS4 UBA5 NAXD HCN1 COQ9 NTRK2 GUF1 SLC19A3 ACY1 TBCD SCN2A ACAD9 SLC12A3 UGT1A1 CPT1A SZT2 ADAM22 SLC13A5 CLP1 NDUFAF3 GABRB1 NDUFS4 NDUFS3 GABRB3 TRNW CARS2 PSAP GABRA5 KCNQ2 CARS2 NBAS AARS1 TRNS2 SLC19A3 DCX SUCLG1 CAD CLCNKB ATAD3A TRNS2 TRNS1 SLC35A1 HADH KYNU COQ2 NOTCH3 COX2 CPT2 TREX1 ROGDI TK2 MECP2 NDUFAF2 ND3 TRNK DHDDS GABRB3 NDUFS1 SH2D1A GALC GBA NADK2 DNM1 TRNV ACAD9 UNC80 NDUFV2 ND4 CDKL5 TMEM126B BSCL2 ACY1 WWOX MPC1 ND5 NDUFB3 ARHGEF9 ARHGEF9 NDUFAF1 CACNA1A PACS2 SLC6A1 NDUFS7 KCNB1 SLC25A15 FADD CCDC88A GRIN2D NUS1 KCNA2 SCN8A NDUFAF8 SLC25A15 DNM1 FGF12 CYFIP2 COX1 SERAC1 UBA5 DALRD3 SCN1A DENND5A YWHAG ND6 PAFAH1B1 COG8 STAG1 MST1 CYC1 HADH MAPK10 SIK1 BSCL2 NDUFA6 ATP6V1A DHDDS CNKSR2 RNASEH2B GABRB2 MDH2 ALMS1 TIMMDC1 UGDH BCS1L NDUFAF5 LIPT2 TWNK PLCB1 TRNK RANBP2 GABRG2 COX15 SZT2 HTRA1 CUX2 CHD2 GLUL PNKP COG8 CACNA2D2 KCNQ2 LYRM7 ARV1 ASNS ETHE1 STXBP1 SLC25A22 CNTNAP2 SLC6A9 ARV1 TRNW GLYCTK TH TRNC CACNA1E SLC1A2 IBA57 CLTC PIGP TBCK ND6 WDR45 STAT2 HMGCL HNRNPU KCNQ5 KCNT1 GLDC NDUFA11 SLC25A13 MEF2C SLC25A12 SLC25A22 AP3B2 TCF4 NTRK2 TRNF KCNB1 PCCB NDUFB11 GCSH KYNU NDUFAF1 DNM1 ND2 NADK2 ND5 NAXE GRIN2B ATP6V1A ATP5F1A SLC1A2 HCN1 NUBPL ALG9 SCN2A NDUFB9 KCNT2 TSEN54 MTHFR AARS1 DLD GABRA1 TRNL1 TRAPPC12 NECAP1 PCK1 COX1 TGFB1 TBC1D24 BOLA3 NDUFA6 COQ4 STXBP1 CHD2 ITPA CLPB TRNS1 RNF13 SLC22A5 MDH1 PPP3CA
    Protein Mutations 1
    A3243G
    SNP 0

    Reports

    Data processed on September 26, 2020.

    An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

    Drug Reports   MeSH Reports   HPO Reports  

    Interventions

    4,180 reports on interventions/drugs

    MeSH

    691 reports on MeSH terms

    HPO

    263 reports on HPO terms

    All Terms

    Alphabetical index of all Terms

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