Paediatric Brain Monitoring with Information Technology (KidsBrainIT): Using Information Technology (IT) Innovations to Improve Childhood brain trauma

Lead Research Organisation: University of Edinburgh
Department Name: Sch of Clinical Sciences

Abstract

PROJECT AIM: We aim to test two hypotheses: After sustaining traumatic brain injury (TBI), paediatric
patients with a longer period of measured cerebral perfusion pressure (CPP) maintained within the
calculated optimal CPP (CPPopt) ranges have (1) an improved outcome, and (2) better tolerance
against raised intracranial pressure (ICP).
WORK PLAN: We set up a new multi-centre, multi-disciplinary and multi-national clinical and research
collaborative called KidsBrainIT. In a 2-year prospective observational study, 10 centres contribute
paediatric TBI patients' annoymised clinical, high-resolution physiological, and outcome data to a central
repository (KidsBrainIT Data-bank). Using the same methodology as our pilot (optimal CPP calculation
and ICP dose-response plots), the main data-set is used to test our hypotheses. A sub-set of data is
used to test novel technology and data models. Calculated validated indices is used as metrics of
clinical management quality assurance for feedback to contributing units to improve treatment.
EXPLOITATION OF RESULTS: By bringing senior clinicians, engineers, and scientists from different
centres and countries to the group, KidsBrainIT facilitates testing of clinically relevant therapeutic
thresholds and validating new monitoring technologies which are then readily translated back into
clinical practice through contributing units. It will also address inequality and variations in TBI
management between adult and paediatric practices.

Technical Summary

Aims: We aim to set up a new multi-centre, multi-disciplinary, multi-national intensive care informatics group for paediatric brain trauma (KidsBrainIT) for current and future hypotheses testing. We then aim to use the KidsBrainIT data-set in this proposal to test two clinically relevant hypotheses: After sustaining traumatic brain injury (TBI), paediatric patients with a longer period of measured cerebral perfusion pressure (CPP) maintained within the calculated optimal CPP (CPPopt) window have (1) an improved global clinical outcome, and (2) better tolerance against raised intracranial pressure (ICP). Methods: A 2-year prospective observational study is planned in the current proposal. Paediatric TBI patients requiring intensive care will be recruited from 10 contributing centres in 4 different countries. We will collect their anonymised routinely collected bedside physiological monitoring data in minute resolutions linked with anonymised clinical and outcome data and store it to the central KidsBrainIT data-bank. CPPopt is calculated using the LAx-CPP plots and DATACAR methodology and ICP dose response analyses will be performed on the KidsBrainIT dataset. These will be correlated with global outcome at 6 months. Age-maturation effects are studied by grouping patients into three previously described age-bands. In addition, a centralised informatics based quality assurance infrastructure is in place to generate treatment compliance reports to our contributing units for clinical care and patient safety improvement.

Planned Impact

Potential Health and Clinical Impact: While the current proposal (Phase-1 of KidsBrainIT) will address inequality and variations in TBI management between adult and paediatric practices, the ultimate objective of KidsBrainIT is to improve paediatric TBI intensive care management in the UK, Europe, North America and beyond. To achieve this ultimate objective, we plan to expand in later phases of KidsBrainIT to include other centres beyond the current consortium in this proposal. Currently we have another 6 UK, 1 European, 1 US, and 1 Canadian centres waiting to join Phase-2 of the KidsBrainIT initiative.
We expect our contributing units to benefit from quality improvement (QI) summary reports by allowing each unit to quality improve and adjust local clinical management, education and feedback to frontline staff thereby improving patient care standards, safety and outcome. While initially the impact on patient care and safety are delivered in 6 monthly cycles to the contributing units, KidsBrainIT will ultimately produce per-patient QI reports to contributing units so that each centre can obtain feedback on how well their own team is with adhering to target treatments and achieving the calculated CPPopt.
With KidsBrainIT's planned expansion to include other units in the world and IT innovation development to allow real-time monitoring systems with live management feedback in the future (see: www.chartadapt.org), we expect KidsBrainIT will ultimately benefit paediatric TBI care worldwide. Through continual collaboration with adult BrainIT, we will reduce inequality between adult and paediatric TBI management and research. We expect to generate validated ICP dose-response graphs for three clinically relevant age-bands by the end of the study. These graphs are readily translated back to clinical practice to allow a more refined evidence based management of raised ICP. We expect our contributing units to adopt these graphs in their clinical practice soon after the end of this study and through publication at peer reviewed journal and conference presentations, we anticipate uptake by other clinical units within 5 years of this study especially when translation of our findings into clinical practice does not require any additional equipment or software to those already used for routine clinical bedside monitoring. KidsBrainIT is conducting non-commercial research to improve paediatric TBI care, safety and outcome. If technologies or equipment developed by our contributing partners are proven to be useful in advancing care and outcome, we will encourage them to seek patent recognition and opportunities to commercialise its use so that a wider clinical community may benefit from our research. Adult BrainIT has experience in such practice with Prof. Ragauskus (an adult BrainIT steering group member from Lithuania) having a track record in successfully commercialising novel monitoring technologies such as non-invasive ICP and cerebro-autoregulation monitoring in adults.

Publications

10 25 50
publication icon
Abdullateef S (2022) Quantitative detection of seizures with minimal-density EEG montage using phase synchrony and cross-channel coherence amplitude in critical care. in Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference

publication icon
Depreitere B (2018) Cerebral Perfusion Pressure Variability Between Patients and Between Centres. in Acta neurochirurgica. Supplement

publication icon
Donald R (2019) Forewarning of hypotensive events using a Bayesian artificial neural network in neurocritical care. in Journal of clinical monitoring and computing

publication icon
Kafantaris E (2019) Application of Dispersion Entropy to Healthy and Pathological Heartbeat ECG Segments. in Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference

publication icon
Kafantaris E (2023) Stratified Multivariate Multiscale Dispersion Entropy for Physiological Signal Analysis in IEEE Transactions on Biomedical Engineering

 
Title A window in the brain partnership logo 
Description We generated a logo for our latest collaborative partnership ( A window in the brain) between academic - clinical and industry sectors. 
Type Of Art Image 
Year Produced 2020 
Impact This is an easy to identify logo and we are confident it will help the participants and general public recognise output from this partnership which we hope will bring a new method to quantitatively detect seizures at the bedside. 
 
Title Intensive-Share Logo 
Description Logo for the Intensive-Share Paediatric Critical Care PPI Group. 
Type Of Art Image 
Year Produced 2022 
Impact Identity for the Intensive-Share Group. Impact pending. 
 
Title KidsBrainIT logo 
Description We have designed and produced a KidBrainIT logo for our group. 
Type Of Art Image 
Year Produced 2017 
Impact Our logo allows our contributing partners, participants and their families, and the general public to easily identify our group and work related to our group. It is widely used within the EU consortium and has generated great interests in our work. 
 
Description Closing the big data loop - using routinely collected bedside physiological data for research and improving paediatric brain trauma management
Geographic Reach Europe 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Development of Local Management Guidelines for Traumatic Brain Injury
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Contribution to new or improved professional practice
Impact The Guidelines are pending implementation.
 
Description Development of Research/QI Rounds for Paediatric Critical Care
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact The Research QI Rounds are attended by more than 20 clinicians and academics, with a range of professional backgrounds including medics, nursing, psychologists, data scientists, engineers and allied health professionals. Attendees have been given the opportunity to develop their research ideas with feedback from the multi-disciplinary group, and receive formal training. We are currently collecting evaluation data to evidence the benefits and impacts of this training.
 
Description Development of training materials on seizure detection in PICU for paediatric trainees.
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Dr Rae demonstrated that paediatric trainees were not confident in detecting seizures clinically or on EEG (with measured seizure detection accuracy less than 45%). All paediatric trainees involved in this study (n = 40) reported a desire to use quantitative seizure detection tools if one were available. Dr Rae has disseminated this finding at the European Paediatric and Neonatal Intensive Care Conference 2021.
 
Description Improvement research in paediatric critical care: Panning the (data)stream for gold
Geographic Reach Asia 
Policy Influence Type Influenced training of practitioners or researchers
Impact Sharing of our established Infrastructure and framework to enhance secondary use of routinely generated clinical big data (including bedside physiological monitoring data in at least minutely resolution) improved education and skill level of senior clinicians in paediatric critical care units working in low resources countries on the possible solutions to implement a similar system in their countries. Opportunities to collaborate and further training was offered.
 
Description Paediatric brain trauma management education module in the first Scottish Paediatric Critical Care Nursing Course
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Paediatric brain trauma management in Paediatric Critical Care Education module
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
 
Description A Window In The Brain 2: Novel Quantitative Seizure Detection Tool For Paediatric Critical Care. A Multi-Centre Feasibility Study
Amount £298,740 (GBP)
Funding ID TCS/21/30 
Organisation Chief Scientist Office 
Sector Public
Country United Kingdom
Start 04/2022 
End 03/2025
 
Description CMVM Public Engagement with Research Seed Fund
Amount £1,500 (GBP)
Funding ID PE 3.02 
Organisation University of Edinburgh 
Sector Academic/University
Country United Kingdom
Start 02/2022 
End 11/2022
 
Description Large Grant Programme
Amount £35,000 (GBP)
Funding ID Grant 2017/48 
Organisation Royal Hospital for Sick Children Edinburgh 
Department Sick Kids Friends Foundation
Sector Charity/Non Profit
Country United Kingdom
Start 12/2018 
End 12/2020
 
Description Large Research Grant
Amount £55,482 (GBP)
Organisation Edinburgh Children's Hospital Charity 
Sector Charity/Non Profit
Country United Kingdom
Start 02/2020 
End 01/2022
 
Description Large equipment grant
Amount £21,650 (GBP)
Organisation Edinburgh Children's Hospital Charity 
Sector Charity/Non Profit
Country United Kingdom
Start 03/2020 
End 03/2021
 
Description MRC Confidence in Concept grant
Amount £112,216 (GBP)
Organisation Medical Research Council (MRC) 
Department MRC Confidence in Concept Scheme
Sector Charity/Non Profit
Country United Kingdom
Start 04/2020 
End 04/2021
 
Description MRC Precision Medicine PhD Studentship
Amount £60,000 (GBP)
Organisation University of Edinburgh 
Sector Academic/University
Country United Kingdom
Start 09/2022 
End 03/2026
 
Description MRC Precision Medicine PhD Studentship
Amount £60,000 (GBP)
Organisation University of Edinburgh 
Sector Academic/University
Country United Kingdom
Start 10/2020 
End 09/2024
 
Description MRC Proximity to Discovery Grant
Amount £9,990 (GBP)
Organisation University of Edinburgh 
Sector Academic/University
Country United Kingdom
Start 10/2018 
End 12/2018
 
Description Paediatric Intensive Care Society Research Award 2017
Amount £1,951 (GBP)
Organisation Paediatric Intensive Care Society 
Sector Charity/Non Profit
Country United Kingdom
Start 12/2017 
 
Description Project Grant
Amount £20,208 (GBP)
Funding ID 2022-84 
Organisation Edinburgh Children's Hospital Charity 
Sector Charity/Non Profit
Country United Kingdom
Start 01/2023 
End 01/2024
 
Description Usher Institute Small Grants - Outreach and Impact Activity
Amount £1,000 (GBP)
Organisation University of Edinburgh 
Sector Academic/University
Country United Kingdom
Start 11/2022 
End 06/2023
 
Title A Window in the Brain 1 Dataset 
Description This is a research dataset that contains fully anonymised electroencephalographic (EEG) and Cerebral Function Analysis Monitors (CFAM) recordings from the Paediatric Critical Care Unit (PCCU) in Edinburgh (NHS Lothian). We have ethical and R&D approval to use the data for current research and archive the data for storage, future research and data sharing. 
Type Of Material Database/Collection of data 
Year Produced 2021 
Provided To Others? No  
Impact Impacts pending. 
 
Title KidsBrainIT Bedside monitoring interface and extraction methodology 
Description Through collaborations within the research consortium, monitoring companies, and local PI and their medical physic team, we have developed several bespoke bedside monitoring interface to allow physiological data extraction of routinely collected clinical physiological data in at least minute resolutions from different brands of bedside monitors and configurations for research and quality improvement work. The data is fully anonymised prior to deposit into the KidsBrainIT central data-bank. 
Type Of Material Data handling & control 
Year Produced 2018 
Provided To Others? No  
Impact This data extraction model closes the big data loop by promoting the use of routinely collected bedside physiological data for research and quality improvement work. Our bespoke monitoring interface and data extraction methods allow us to extract data from different brands of bedside monitors and configurations which will enable us to include almost any paediatric intensive care units that wish to join our research consortium in the future thereby enhancing inclusion ability of our multi-national consortium. 
 
Title KidsBrainIT Central Data-bank 
Description This is a research data-base that contains fully anonymised pre-defined acute clinical details, minute-by-minute prospectively collected physiological data from intensive care bedside monitors, linked with 6 and 12 months post-injury global outcome data from paediatric patients who had sustained life-threatening brain trauma requiring intensive care management in 4 EU countries. This is a live data-base with new data set being deposited into the data-bank. We have ethical and R&D approval at all contributing centres and have seek consent to use the data for current research in addition to archiving the data for storage and future research use and data sharing. 
Type Of Material Database/Collection of data 
Year Produced 2018 
Provided To Others? No  
Impact This is the first multi-centre, multi-national data-base that linked clinical, bedside physiological and outcome data in paediatric brain trauma. This data base closes the big data loop by promoting use of routinely collected clinical and physiological big data for research and quality improvement. 
 
Description A Window in the Brain 2: Novel Quantitative Seizure Detection Tool for Paediatric Critical Care. A Multi-Centre Feasibility Study 
Organisation Brainsview Inc
Country Canada 
Sector Private 
PI Contribution I built this research collaboration with an initial idea of the need to develop an innovative quantitative seizure detection tool that may be clinically useful in paediatric critical care. I then formed the partnership with industry (Brainsviews Inc.), academic colleagues in School of Engineering (University of Edinburgh), and NHS Lothian (Royal Hospital for Sick Children, the Combined Paediatric Neuroscience Services). I am the chief investigator of this partnership driving the scientific direction and potential clinical translation. I am the Chief Investigator on this new CSO grant (TCS/21/30) that will drive the expansion of the collaboration with other health boards and academic centres across the UK.
Collaborator Contribution Brainsviews Inc. provided a copy of their brain connectivity assessment software which may be adapted for seizure detection in a quantitative manner. School of Engineering (Dr. Escudero and Dr. Abdullateef) provides signal processing expertise to the processed data to enhance seizure detection ability. Dr. McLellan (NHS Lothian, Royal Hospital for Sick Children) provides clinical neurology (especially seizure detection) expertise.
Impact 1) Secured funding via the Chief Scientist Office Translational Clinical Science grants. 2) Due to build the first multi-centre paediatric specific fully anonymised EEG databank for research use
Start Year 2019
 
Description A Window in the Brain 2: Novel Quantitative Seizure Detection Tool for Paediatric Critical Care. A Multi-Centre Feasibility Study 
Organisation NHS Lothian
Country United Kingdom 
Sector Public 
PI Contribution I built this research collaboration with an initial idea of the need to develop an innovative quantitative seizure detection tool that may be clinically useful in paediatric critical care. I then formed the partnership with industry (Brainsviews Inc.), academic colleagues in School of Engineering (University of Edinburgh), and NHS Lothian (Royal Hospital for Sick Children, the Combined Paediatric Neuroscience Services). I am the chief investigator of this partnership driving the scientific direction and potential clinical translation. I am the Chief Investigator on this new CSO grant (TCS/21/30) that will drive the expansion of the collaboration with other health boards and academic centres across the UK.
Collaborator Contribution Brainsviews Inc. provided a copy of their brain connectivity assessment software which may be adapted for seizure detection in a quantitative manner. School of Engineering (Dr. Escudero and Dr. Abdullateef) provides signal processing expertise to the processed data to enhance seizure detection ability. Dr. McLellan (NHS Lothian, Royal Hospital for Sick Children) provides clinical neurology (especially seizure detection) expertise.
Impact 1) Secured funding via the Chief Scientist Office Translational Clinical Science grants. 2) Due to build the first multi-centre paediatric specific fully anonymised EEG databank for research use
Start Year 2019
 
Description A Window in the Brain 2: Novel Quantitative Seizure Detection Tool for Paediatric Critical Care. A Multi-Centre Feasibility Study 
Organisation University of Edinburgh
Country United Kingdom 
Sector Academic/University 
PI Contribution I built this research collaboration with an initial idea of the need to develop an innovative quantitative seizure detection tool that may be clinically useful in paediatric critical care. I then formed the partnership with industry (Brainsviews Inc.), academic colleagues in School of Engineering (University of Edinburgh), and NHS Lothian (Royal Hospital for Sick Children, the Combined Paediatric Neuroscience Services). I am the chief investigator of this partnership driving the scientific direction and potential clinical translation. I am the Chief Investigator on this new CSO grant (TCS/21/30) that will drive the expansion of the collaboration with other health boards and academic centres across the UK.
Collaborator Contribution Brainsviews Inc. provided a copy of their brain connectivity assessment software which may be adapted for seizure detection in a quantitative manner. School of Engineering (Dr. Escudero and Dr. Abdullateef) provides signal processing expertise to the processed data to enhance seizure detection ability. Dr. McLellan (NHS Lothian, Royal Hospital for Sick Children) provides clinical neurology (especially seizure detection) expertise.
Impact 1) Secured funding via the Chief Scientist Office Translational Clinical Science grants. 2) Due to build the first multi-centre paediatric specific fully anonymised EEG databank for research use
Start Year 2019
 
Description A window in the brain: Developing novel quantitative seizure detection tool for paediatric critical care 
Organisation Brainsview Inc
Country Canada 
Sector Private 
PI Contribution I built this research collaboration with an initial idea of the need to develop an innovative quantitative seizure detection tool that may be clinically useful in paediatric critical care. I then formed the partnership with industry (Brainsviews Inc.), academic colleagues in School of Engineering, and NHS Lothian (Royal Hospital for Sick Children, the Combined Paediatric Neuroscience Services). I am the chief investigator of this partnership driving the scientific direction and potential clinical translation.
Collaborator Contribution Brainsviews Inc. provided a copy of their brain connectivity assessment software which may be adapted for seizure detection in a quantitative manner. School of Engineering (Dr. Escudero) provides signal processing expertise to the processed data to enhance seizure detection ability. Dr. McLellan (NHS Lothian, Royal Hospital for Sick Children) provides clinical neurology (especially seizure detection) expertise.
Impact (1) Secured grant funding via MRC Confidence in Concept stream funding. (2) Due to open for data extraction and analyses.
Start Year 2019
 
Description A window in the brain: Developing novel quantitative seizure detection tool for paediatric critical care 
Organisation NHS Lothian
Department Women and Children
Country United Kingdom 
Sector Public 
PI Contribution I built this research collaboration with an initial idea of the need to develop an innovative quantitative seizure detection tool that may be clinically useful in paediatric critical care. I then formed the partnership with industry (Brainsviews Inc.), academic colleagues in School of Engineering, and NHS Lothian (Royal Hospital for Sick Children, the Combined Paediatric Neuroscience Services). I am the chief investigator of this partnership driving the scientific direction and potential clinical translation.
Collaborator Contribution Brainsviews Inc. provided a copy of their brain connectivity assessment software which may be adapted for seizure detection in a quantitative manner. School of Engineering (Dr. Escudero) provides signal processing expertise to the processed data to enhance seizure detection ability. Dr. McLellan (NHS Lothian, Royal Hospital for Sick Children) provides clinical neurology (especially seizure detection) expertise.
Impact (1) Secured grant funding via MRC Confidence in Concept stream funding. (2) Due to open for data extraction and analyses.
Start Year 2019
 
Description A window in the brain: Developing novel quantitative seizure detection tool for paediatric critical care 
Organisation University of Edinburgh
Department School of Engineering
Country United Kingdom 
Sector Academic/University 
PI Contribution I built this research collaboration with an initial idea of the need to develop an innovative quantitative seizure detection tool that may be clinically useful in paediatric critical care. I then formed the partnership with industry (Brainsviews Inc.), academic colleagues in School of Engineering, and NHS Lothian (Royal Hospital for Sick Children, the Combined Paediatric Neuroscience Services). I am the chief investigator of this partnership driving the scientific direction and potential clinical translation.
Collaborator Contribution Brainsviews Inc. provided a copy of their brain connectivity assessment software which may be adapted for seizure detection in a quantitative manner. School of Engineering (Dr. Escudero) provides signal processing expertise to the processed data to enhance seizure detection ability. Dr. McLellan (NHS Lothian, Royal Hospital for Sick Children) provides clinical neurology (especially seizure detection) expertise.
Impact (1) Secured grant funding via MRC Confidence in Concept stream funding. (2) Due to open for data extraction and analyses.
Start Year 2019
 
Description Accelerating clinical translation of novel brain connectivity analysis 
Organisation Brainsview Inc
Country Canada 
Sector Private 
PI Contribution (1) A two-way personnel exchange: the KidsBrainIT team visits Brainsview Inc. in Toronto to start the collaboration bringing back Brainsview's novel analytical solution that measures brain function connectivity. (2) KidsBrainIT and Brainsview Inc. work together remotely to customise the analytical solution to recognise and analyse the routinely collected 4 channels brain wave (EEG) data in Edinburgh paediatric intensive care unit (ICU). (3) Host the first multi-disciplinary BrainIT ICU health care 'data-thon' to facilitate clinical, academic, and industry collaboration.
Collaborator Contribution (1) A two-way personnel exchange: the KidsBrainIT team visits Brainsview Inc. in Toronto to start the collaboration bringing back Brainsview's novel analytical solution that measures brain function connectivity. (2) KidsBrainIT and Brainsview Inc. work together remotely to customise the analytical solution to recognise and analyse the routinely collected 4 channels brain wave (EEG) data in Edinburgh paediatric intensive care unit (ICU). (3) The Brainsview Inc. scientific director (and company founder) attended Edinburgh in early December to work with the KidsBrainIT group and actively contributed to the first BrainIT ICU health care 'data-thon' to showcase how industry collaboration with academic and clinical settings may accelerate clinical translations and develop bespoke solutions to front-line clinicians using routinely generated health care big data within adult and paediatric ICU.
Impact The First BrainIT multi-disciplinary Data-thon Establishing the first base for novel brain functional connectivity assessment for Europe in Edinburgh
Start Year 2018
 
Description Functional brain connectivity and neuro-developmental outcome assessments in paediatric brain trauma 
Organisation Brainview Inc.
Country Belgium 
Sector Private 
PI Contribution Our team brings expertise and intellectual input in clinical care of paediatric brain trauma, bedside physiological monitoring interface and data extraction, multi-disciplinary, multi-centre, and multi-national research consortium (KidsBrainIT) to this partnership.
Collaborator Contribution Prof. O'Hare's group from University of Edinburgh brings expertise and intellectual input in neuro-developmental assessments to the partnership. Dr. Browning brings expertise and intellectual input in paediatric emergency medicine to the partnership. Dr. Nedadovic of Brainview Inc. brings novel data analytic and equipment solutions for assessing brain connectivity.
Impact No output has resulted from this partnership yet. This is a multi-disciplinary collaboration which includes clinical (both acute care including paediatric emergency medicine and paediatric intensive care and neurodevelopmental outcome assessment in the post-acute care setting), health care scientist and information technology, and industry (Brainview Inc.).
Start Year 2018
 
Description Functional brain connectivity and neuro-developmental outcome assessments in paediatric brain trauma 
Organisation University of Edinburgh
Country United Kingdom 
Sector Academic/University 
PI Contribution Our team brings expertise and intellectual input in clinical care of paediatric brain trauma, bedside physiological monitoring interface and data extraction, multi-disciplinary, multi-centre, and multi-national research consortium (KidsBrainIT) to this partnership.
Collaborator Contribution Prof. O'Hare's group from University of Edinburgh brings expertise and intellectual input in neuro-developmental assessments to the partnership. Dr. Browning brings expertise and intellectual input in paediatric emergency medicine to the partnership. Dr. Nedadovic of Brainview Inc. brings novel data analytic and equipment solutions for assessing brain connectivity.
Impact No output has resulted from this partnership yet. This is a multi-disciplinary collaboration which includes clinical (both acute care including paediatric emergency medicine and paediatric intensive care and neurodevelopmental outcome assessment in the post-acute care setting), health care scientist and information technology, and industry (Brainview Inc.).
Start Year 2018
 
Description Intensive Share: Developing a Patient Public Involvement Group for Paediatric Critical Care 
Organisation Edinburgh Children's Hospital Charity
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution Within the Edinburgh-led international paediatric critical care unit (PCCU) research team that I lead (IMPACT-ACE), I operate an open collaborative approach and I have worked with the team to create the first Scottish paediatric critical care Patient and Public Involvement (PPI) group. We hope that the group provides PCCU researchers with opportunities to engage and learn from PPI members' perspective when conducting research and to empower children, young people and families to have a voice in PCCU research and develop new skills. I was a co-applicant on a successful application to the University of Edinburgh Public Engagement with Research seed fund, which allowed our team to work with partners to develop and launch the PPI group.
Collaborator Contribution Clinicians (NHS Lothian), academics (University of Edinburgh) and third sector partners (Edinburgh Children's Hospital Charity) have formed a partnership and successfully applied for funding to develop and launch the PPI group. Partners worked together to develop, promote and launch the PPI group; and we have identified and completed a number of PPI activities. These have included, lay contributions towards grant application and study methodologies, co-creation of study participant documents, and research dissemination to the public (public facing website).
Impact Secured funding from the University of Edinburgh College of Medicine and Veterinary Medicine (CMVM) Public Engagement with Research Seed Fund to develop and launch the Patient and Public Engagement Group for paediatric critical care. Successfully launched the PPI Group (Intensive-Share), enrolling 7 families in the first Scottish paediatric critical care PPI group. Applied for funding to the Public Engagement Fund - Research Data Scotland to co-develop an information tool with families with lived experience so that other families can better understand health data research in paediatric critical care.
Start Year 2021
 
Description Intensive Share: Developing a Patient Public Involvement Group for Paediatric Critical Care 
Organisation NHS Lothian
Country United Kingdom 
Sector Public 
PI Contribution Within the Edinburgh-led international paediatric critical care unit (PCCU) research team that I lead (IMPACT-ACE), I operate an open collaborative approach and I have worked with the team to create the first Scottish paediatric critical care Patient and Public Involvement (PPI) group. We hope that the group provides PCCU researchers with opportunities to engage and learn from PPI members' perspective when conducting research and to empower children, young people and families to have a voice in PCCU research and develop new skills. I was a co-applicant on a successful application to the University of Edinburgh Public Engagement with Research seed fund, which allowed our team to work with partners to develop and launch the PPI group.
Collaborator Contribution Clinicians (NHS Lothian), academics (University of Edinburgh) and third sector partners (Edinburgh Children's Hospital Charity) have formed a partnership and successfully applied for funding to develop and launch the PPI group. Partners worked together to develop, promote and launch the PPI group; and we have identified and completed a number of PPI activities. These have included, lay contributions towards grant application and study methodologies, co-creation of study participant documents, and research dissemination to the public (public facing website).
Impact Secured funding from the University of Edinburgh College of Medicine and Veterinary Medicine (CMVM) Public Engagement with Research Seed Fund to develop and launch the Patient and Public Engagement Group for paediatric critical care. Successfully launched the PPI Group (Intensive-Share), enrolling 7 families in the first Scottish paediatric critical care PPI group. Applied for funding to the Public Engagement Fund - Research Data Scotland to co-develop an information tool with families with lived experience so that other families can better understand health data research in paediatric critical care.
Start Year 2021
 
Description Intensive Share: Developing a Patient Public Involvement Group for Paediatric Critical Care 
Organisation University of Edinburgh
Country United Kingdom 
Sector Academic/University 
PI Contribution Within the Edinburgh-led international paediatric critical care unit (PCCU) research team that I lead (IMPACT-ACE), I operate an open collaborative approach and I have worked with the team to create the first Scottish paediatric critical care Patient and Public Involvement (PPI) group. We hope that the group provides PCCU researchers with opportunities to engage and learn from PPI members' perspective when conducting research and to empower children, young people and families to have a voice in PCCU research and develop new skills. I was a co-applicant on a successful application to the University of Edinburgh Public Engagement with Research seed fund, which allowed our team to work with partners to develop and launch the PPI group.
Collaborator Contribution Clinicians (NHS Lothian), academics (University of Edinburgh) and third sector partners (Edinburgh Children's Hospital Charity) have formed a partnership and successfully applied for funding to develop and launch the PPI group. Partners worked together to develop, promote and launch the PPI group; and we have identified and completed a number of PPI activities. These have included, lay contributions towards grant application and study methodologies, co-creation of study participant documents, and research dissemination to the public (public facing website).
Impact Secured funding from the University of Edinburgh College of Medicine and Veterinary Medicine (CMVM) Public Engagement with Research Seed Fund to develop and launch the Patient and Public Engagement Group for paediatric critical care. Successfully launched the PPI Group (Intensive-Share), enrolling 7 families in the first Scottish paediatric critical care PPI group. Applied for funding to the Public Engagement Fund - Research Data Scotland to co-develop an information tool with families with lived experience so that other families can better understand health data research in paediatric critical care.
Start Year 2021
 
Description KidsBrainIT-2: Using data science to improve paediatric acquired brain injury care and outcome 
Organisation Aga Khan University Hospital
Country Pakistan 
Sector Hospitals 
PI Contribution I will drive the expansion of the KidsBrainIT consortium to include partners from Lower Middle Income Countries; and I will work with existing and new partners to validate and expand the KidsBrainIT dataset, and develop new methodology and datasets.
Collaborator Contribution New and existing partners will contribute to new grant applications (KidsBrainIT-2) to validate findings from KidsBrainIT-1 and determine, develop and validate new outcomes and methodologies. Partners will contribute expertise and fully-anonymised datasets.
Impact Outcomes pending - grant application to the Neuroscience and Mental Health Research Board (MRC) in progress.
Start Year 2021
 
Description KidsBrainIT-2: Using data science to improve paediatric acquired brain injury care and outcome 
Organisation Brainsview Inc
Country Canada 
Sector Private 
PI Contribution I will drive the expansion of the KidsBrainIT consortium to include partners from Lower Middle Income Countries; and I will work with existing and new partners to validate and expand the KidsBrainIT dataset, and develop new methodology and datasets.
Collaborator Contribution New and existing partners will contribute to new grant applications (KidsBrainIT-2) to validate findings from KidsBrainIT-1 and determine, develop and validate new outcomes and methodologies. Partners will contribute expertise and fully-anonymised datasets.
Impact Outcomes pending - grant application to the Neuroscience and Mental Health Research Board (MRC) in progress.
Start Year 2021
 
Description KidsBrainIT-2: Using data science to improve paediatric acquired brain injury care and outcome 
Organisation UZ Leuven, Belgium
Country Belgium 
Sector Hospitals 
PI Contribution I will drive the expansion of the KidsBrainIT consortium to include partners from Lower Middle Income Countries; and I will work with existing and new partners to validate and expand the KidsBrainIT dataset, and develop new methodology and datasets.
Collaborator Contribution New and existing partners will contribute to new grant applications (KidsBrainIT-2) to validate findings from KidsBrainIT-1 and determine, develop and validate new outcomes and methodologies. Partners will contribute expertise and fully-anonymised datasets.
Impact Outcomes pending - grant application to the Neuroscience and Mental Health Research Board (MRC) in progress.
Start Year 2021
 
Description KidsBrainIT-2: Using data science to improve paediatric acquired brain injury care and outcome 
Organisation University of Cape Town
Country South Africa 
Sector Academic/University 
PI Contribution I will drive the expansion of the KidsBrainIT consortium to include partners from Lower Middle Income Countries; and I will work with existing and new partners to validate and expand the KidsBrainIT dataset, and develop new methodology and datasets.
Collaborator Contribution New and existing partners will contribute to new grant applications (KidsBrainIT-2) to validate findings from KidsBrainIT-1 and determine, develop and validate new outcomes and methodologies. Partners will contribute expertise and fully-anonymised datasets.
Impact Outcomes pending - grant application to the Neuroscience and Mental Health Research Board (MRC) in progress.
Start Year 2021
 
Description KidsBrainIT-2: Using data science to improve paediatric acquired brain injury care and outcome 
Organisation University of Edinburgh
Country United Kingdom 
Sector Academic/University 
PI Contribution I will drive the expansion of the KidsBrainIT consortium to include partners from Lower Middle Income Countries; and I will work with existing and new partners to validate and expand the KidsBrainIT dataset, and develop new methodology and datasets.
Collaborator Contribution New and existing partners will contribute to new grant applications (KidsBrainIT-2) to validate findings from KidsBrainIT-1 and determine, develop and validate new outcomes and methodologies. Partners will contribute expertise and fully-anonymised datasets.
Impact Outcomes pending - grant application to the Neuroscience and Mental Health Research Board (MRC) in progress.
Start Year 2021
 
Description Paediatric intensive care physiological recording signal analysis for decision support & outcome prediction 
Organisation University of Edinburgh
Department School of Engineering
Country United Kingdom 
Sector Academic/University 
PI Contribution Our team provides access to high resolution data for analyses, and expertise in the clinical care of paediatric brain trauma and data extraction from bedside physiological monitors.
Collaborator Contribution Our partner provides expertise and intellectual input in physiological variability analyses and development of data analysis tools to support clinical decision making and outcome prediction.
Impact No output has resulted from this partnership yet. This is a multi-disciplinary partnership which includes clinical expertise in paediatric intensive care including neuro-intensive care, health care scientist and IT expertise in bedside monitoring interface and data extraction, and signal analysis and engineering expertise.
Start Year 2018
 
Description 2017 Brochure for Academic and Clinical Central Office for Research & Development 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Supporters
Results and Impact Our research group was featured in the 2017 ACCORD brochure which sparked interests from patient groups and other researchers within the region and beyond and generated discussions after the brochure was published. We are currently in discussions with other researchers to develop new research collaboration ideas.
Year(s) Of Engagement Activity 2017,2018
URL http://accord.scot/about-accord
 
Description BrainIT Annual Meeting 2022 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The BrainIT Annual Meeting (2022) was held remotely in November and was attended by over 30 researchers from across the world. KidsBrainIT was a featured project and a number of partners shared their findings and invited discussion from the group.
Year(s) Of Engagement Activity 2022
 
Description Bristol Paediatric Neurocritical Care Study Day 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Presenting KidsBrainIT work and how to set up a research group at the Bristol Paediatric Neurocritical Care Study Day. Participants from a number of clinical and academic specialties attended the session which sparked brainstorming and question and answers. It also provided a networking opportunity with new clinicians and strengthened relationships with existing collaborators.
Year(s) Of Engagement Activity 2022
 
Description Data science student workshop 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact My presentation to showcase KidsBrainIT and IMPACT-ACE research work sparked questions and discussions from post-graduate students, professional practitioners, and industry partners. The local department reported an increased interest in related subjects.
Year(s) Of Engagement Activity 2020
 
Description ERA-NET NEURON Half-term symposium 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Dr. Lo delivered a presentation reporting on progress and summarising the achievement of KidsBrainIT consortium. The presentation was well received and Dr. Lo was congratulated on how much KidsBrainIT has achieved in a very short space of time. It has additionally generated interests for other groups to collaborate with KidsBrainIT.
Year(s) Of Engagement Activity 2019
 
Description Improvement research programme welcome event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Dr. Lo was invited to showcase KidsBrainIT's work at an open / drop in wholeday event at the Royal Hospital for Sick Children in Edinburgh. There were posters displayed, informal discussions with audience who included professional practitioners, general public, patients and carers, and charity staff. Dr Lo was congratulated on the important work of KidsBrainIT and generated funding interests from charities, and collaboration opportunities.
Year(s) Of Engagement Activity 2018
 
Description Indian Paediatric Intensive Society E-Gurukul 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presenting KidsBrainIT work and how to set up a research group to the E-gurukul seminar session. Over 600 participants from India, Pakistan, Indonesia, and Singapore attended the session which sparked a brainstorming, questions and answers session afterward. It also provided an outstanding networking opportunity with many senior clinicians contacting me wanting to collaborate.
Year(s) Of Engagement Activity 2021
 
Description Intensive-Share PPI Group Launch Event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Patients, carers and/or patient groups
Results and Impact Interactive workshops for families with lived experience of paediatric critical care to share current research and discuss opportunities for patient and public involvement in paediatric critical care research. 4 families (7 adults and 12 children and young people) attended. 7 families have enrolled in the Intensive Share PPI Group.
Year(s) Of Engagement Activity 2022
URL https://www.ed.ac.uk/inflammation-research/news-events/cir-launches-intensive-share-project
 
Description IntoUniversity Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact This is an outreach workshop to introduce Biomedical Engineering to school pupils (aged between 7 and 12 years old). Dr Abdullateef will share her research on non-invasive seizure detection using electroencephalograms. The workshop is expected to host around 30 children.
Year(s) Of Engagement Activity 2023
 
Description Invited seminar 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact We were invited to deliver a seminar on KidsBrainIT's work so that we may facilitate future collaborations and raise awareness and engagement of our research group. The seminar sparked questions and discussions afterwards and we are now planning future collaborations with their group.
Year(s) Of Engagement Activity 2018,2019
 
Description Invited speaker - NRS (NHS Research Scotland) Annual Scientific Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Dr. Lo was invited to speak about KidsBrainIT and how important it is to make better use of routinely collected clinical and physiological big data for research and quality improvement. The talk generated a huge amount of interests and discussions, new collaborations are started.
Year(s) Of Engagement Activity 2019
 
Description Invited talk to Charity / potential funders 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Supporters
Results and Impact Dr Lo was invited to meet with the board of directors from a local charity to raise awareness of the excellent work of KidsBrainIT. This increased interests in using routinely collected clinical and physiological big data for research and quality improvement.
Year(s) Of Engagement Activity 2018
 
Description Patient group workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Patients, carers and/or patient groups
Results and Impact Dr Lo was invited to engage in a workshop with carers and patients who survived brain trauma as a child to discuss KidsBrainIT and how to use routinely collected clinical and physiological big data for research to improve future patient care and outcome.
Year(s) Of Engagement Activity 2019
 
Description Presentation at the British Paediatric Neurology Association Annual Conference (2023) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Dr Lo gave an oral presentation entitled "Working together in the acute management of childhood head injury - the PICU and neurosurgical perspective".
Year(s) Of Engagement Activity 2023
 
Description Presentation at the International Symposium on Intracranial Pressure and Brain Monitoring (ICP) 2022 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Researchers from the KidsBrainIT Consortium (represented by Dr Kempen, KU Leuven Group) were invited to present at the ICP 2022 International Symposium in South Africa.
Two oral presentations of work from the KidsBrainIT project were delivered:
"KidsBrainIT: Visualization of the impact of cerebral perfusion pressure insult intensity and duration on childhood brain trauma outcome."
"KidsBrainIT: Intracranial hypertension dose response and outcome in childhood brain trauma."
Year(s) Of Engagement Activity 2022
 
Description Presentation at the World Federation of Pediatric and Intensive and Critical Care Societies (WFPICCS) Conference 2022 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Dr Lo and members of her team (Dr Abdullateef and Dr Palmer) were invited to give oral presentations at the WFPICCS Congress IN 2022. Dr Lo delivered oral and poster presentations on the KidsBrainIT project:
"Intracranial Hypertension Dose Response and Outcome in Childhood Brain Trauma"
"Visualisation of the Impact of Cerebral Perfusion Pressure Insult Intensity and Duration on Childhood Brain Trauma Outcome. A Multi-national, Multi-centre Data Informatics Study"
Year(s) Of Engagement Activity 2022
 
Description Researcher-Clinician Engagement Session 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact This single centre engagement event allowed WiB researchers and frontline clinicians to discuss the clinical need for an objective seizure detection algorithm that can be interpreted by the bedside clinicians who are not neurology specialists. The WiB researchers showcase the WiB2 seizure detection algorithm and the PICU clinicians (our future end users) confirmed it would be highly useful at the bedside and would like to see a rapid clinical translation.
Year(s) Of Engagement Activity 2022
 
Description School visit 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact I was invited to deliver a talk to secondary school pupils who are thinking about pursing a career in medicine on how I chose my career path and what my job entails. Following the talk, there was lots of questions and discussions afterwards, and the school reported how much the pupils enjoyed the discussions and honest answers to their questions.
Year(s) Of Engagement Activity 2019
 
Description Science Week Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Patients, carers and/or patient groups
Results and Impact We will host an interactive session to promote science for children aged 7 or above who are attending or currently admitted to the Royal Hospital for Children and Young People (Edinburgh). Children will participate in interactive activities with neuroscience researchers to learn more about how the brain works.
Year(s) Of Engagement Activity 2023
 
Description Social media present 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact We have established a twitter and facebook page @KidsBrainIT to build a social media presence for our research group. This has sparked interests and questions on KidsBrainIT and what we are trying to achieve. Furthermore, discussions were generated and many professional practitioners are now in discussions with us to start collaborations.
Year(s) Of Engagement Activity 2017,2018,2019
URL https://twitter.com/kidsbrainit?lang=en
 
Description Website development for Window in the Brain research 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Patients, carers and/or patient groups
Results and Impact We are currently developing a public-facing website for the Window in the Brain research. The purpose of the site is research engagement and dissemination and the site will provide information to for a number of audiences (academics, researchers, collaborators and members of the public). Content will include information on the project team and funders, past and current research activity, links to social media, publications, news and events, and opportunities for patient and public involvement. The website is being developed in collaboration with our Patient and Public Involvement Group.

Outcomes/impact pending launch.
Year(s) Of Engagement Activity 2021,2022,2023
URL http://www.ed.ac.uk/window-in-the-brain