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Published on: March 26, 2019
Implantation Standards for Intracranial Multimodal Monitoring (Neurocore-iMMM): An International Delphi Consensus
Sami Barrit1,2,3, Trinity Pate4, Maria A Poca5
1Department of Neurological Surgery, University of California San Francisco, 505 Parnassus Ave, San Francisco, CA, 90095, USA. sami.barrit@ucsf.edu.
Neurocritical Care
|July 21, 2026
Summary
Standardizing intracranial multimodal monitoring (iMMM) implantation documentation improves data comparability and safety profiling. This study established consensus-based standards for iMMM procedures, enhancing multicenter research and patient care.
Area of Science:
- Neurocritical care
- Medical device implantation
- Data standardization
Background:
- Intracranial multimodal monitoring (iMMM) use is increasing.
- Inconsistent documentation hinders data comparability and safety profiling.
Purpose of the Study:
- Establish standardized documentation for iMMM implantation procedures.
- Define variables and specificity for data collection.
Main Methods:
- Modified Delphi method with 82 international experts.
- Three-round consensus process (May-August 2025).
- Agreement thresholds: ≥75% strong, 66-74% moderate, <50% no consensus.
Main Results:
- 57 of 120 items achieved consensus.
- Standards cover probe placement, complication reporting, and adverse event subcategorization.
- High agreement on probe placement (99%), hemorrhage (99%), and infection (95%) reporting.
Conclusions:
- Developed implantation standards for iMMM align with NIH Common Data Elements.
- Standards provide a foundation for multicenter databases and trials.
- Facilitates cross-center comparison and operationalization of reporting criteria.
