Research in NeuroICU

NeuroICU at St. George’s University Hospitals NHS Foundation Trust is research active.

Research Team

NeuroICU and Neurosurgery at SGH collaborate closely within the field of research

Neuro Intensive care is affiliated with the Neuroscience and Cell Biology Research Institute at City St. George’s University, University of London https://www.sgul.ac.uk/about/our-institutes/neuroscience-and-cell-biology-research-institute

Current Randomised Controlled Trials

The Neuro-ICU at St. George’s contributes to the following trials. Some of these trials have started recruitment and others are currently being set-up. 

BONANZA

Traumatic brain Injury https://www.anzics.com.au/current-active-endorsed-research/bonanza/ 

Brain tissue oxygen monitoring from injured brain 

Lead site: Monash University, Melbourne 

SOS

Traumatic brain Injury https://fundingawards.nihr.ac.uk/award/17/120/01 

Mannitol vs hypertonic saline for raised intracranial pressure 

Lead site: University Hospitals Birmingham NHS Foundation Trust

SIGNET

Statins for improving organ outcome in transplantation. https://fundingawards.nihr.ac.uk/award/NIHR131124

ISCoPE

Traumatic spinal cord injury https://www.clinicaltrials.gov/ct2/show/NCT02721615?term=ISCOPE&cond=Spinal+Cord+Injuries&draw=2&rank=1 

Multi-modality monitoring from injury site 

Lead site: St George’s, University of London

To investigate whether giving deceased organ donors a single dose of the drug Simvastatin, very inexpensive and safe, is beneficial for transplant
recipients. 

Lead site: St George’s, University of London

DISCUS

Cervical traumatic spinal cord injury https://fundingawards.nihr.ac.uk/award/NIHR130048.

Novel neurosurgical treatment and multi-modality monitoring from injury site 

Lead site: St George’s, University of London

SCIL

Subarachnoid haemorrhage https://www.clinicaltrials.gov/ct2/show/NCT03249207?term=scil&cond=Subarachnoid+Hemorrhage&draw=2&rank=1.

Novel drug treatment 

Lead site: University of Manchester

MAST

Traumatic brain injury https://www.clinicaltrials.gov/ct2/show/NCT04573803?term=mast&cond=Brain+Injuries&draw=2&rank=1 

Drug treatment for seizures 

Lead site: Cambridge University Hospitals NHS Foundation Trust 

CARE

Cavernous haemangioma https://www.clinicaltrials.gov/ct2/show/NCT04181086?term=CARE&cond=Cavernous+Hemangioma&draw=2&rank=1 

To determine best treatment 

Lead site: Edinburgh 

POLYFIX (Fusion 4 DSM)

Degenerative cervical myelopathy https://cctu.org.uk/portfolio/surgical-peri-operative-care/trials-in-setup/polyfix-dcm 

Fixation after multi-level cervical laminectomy 

Lead site: Cambridge University Hospitals NHS Foundation Trust 

Completed Randomised Controlled Trials

The Neuro-ICU at St. George’s has contributed patients to the following trials. 

RESCUEicp: Traumatic brain Injury https://www.nejm.org/doi/full/10.1056/nejmoa1605215 

Role of decompressive craniectomy 

Lead site: Cambridge 

RESCUEicp ASDH: Acute subdural haematoma http://www.rescueasdh.org/ 

Role of decompressive craniectomy 

Lead site: Cambridge 

Dex-CSDH: Chronic Subdural Haematoma https://www.nejm.org/doi/full/10.1056/NEJMoa2020473 

Role of dexamethasone 

Lead site: Cambridge 

STICH and STICH2: Lobar spontaneous Intracerebral Haematoma https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60986-1/fulltext https://pubmed.ncbi.nlm.nih.gov/15680453/ 

Surgical evacuation vs. best medical care 

Lead site: Newcastle 

STITCH: Traumatic Intracerebral Haematoma https://pubmed.ncbi.nlm.nih.gov/25738794/ 

Surgical evacuation vs conservative management 

Lead site: Newcastle 

STASH: Subarachnoid haemorrhage https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(14)70084-5/fulltext 

Simvastatin for subarachnoid haemorrhage 

Lead site: Cambridge