Neuroanesthesia & neurocritical care
Intracranial multimodal monitoring in neurocritical care (Neurocore-iMMM): an open, decentralized consensus
Authors' conclusion
This consensus establishes foundational COS and reporting guidelines for iMMM in neurocritical care.
Study context
- Population
- Neurocritical physicians and researchers involved in intracranial multimodal monitoring (iMMM)attrition 12%
- Participants
- 58 physicians
- Outcome
- Agreement on items for core outcome sets (COS) and reporting guidelines
Methodological detailsopen, decentralized, three-round, international, multidisciplinary, December 2023 to June 2024, Panel predominantly from Western regions (96%), actively involved in iMMM (82%), at least weekly (72.4%), >10 years of experience (57%)
- Open
- Decentralized
- Three-round
- International
- Multidisciplinary
- December 2023 to June 2024
- Panel predominantly from Western regions (96%), actively involved in iMMM (82%), at least weekly (72.4%), >10 years of experience (57%)
Recommendations
As reported in the abstract
- Items assessed
- 127
- Strong agreement (≥ 75%)
- 45 (35.4%)
- Moderate agreement (≥ 66%)
- 8 (6.3%)
- Age
- 98%
- Sex/gender
- 90%
- Coagulation/platelet disorders
- 95%
- GCS
- 97%
- Pathology-specific scores
- 90%
- Antithrombotics
- 95%
- iMMM implantation indications
- 98%
- iMMM-guided interventions
- 91%
- Targeting strategies
- 97%
- Concomitant external ventricular drainage
- 97%
- Recording modalities
- 98%
- Monitoring duration
- 97%
- Triggered interventions
- 95%
- Standardized outcome reporting
- 93%
- Surgical complications (postoperative intracranial hemorrhages, CNS infections, probe misplacement)
- all > 90%
- Adverse events (accidental dislodgement, probe breakage, technical malfunctions)
- all > 90%
Original publication
Intracranial multimodal monitoring in neurocritical care (Neurocore-iMMM): an open, decentralized consensus. Crit Care. Published 20 December 2024. doi:10. 1186/ s13054-024-05211-8
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