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临床试验/NCT07380477
NCT07380477招募中不适用

CSF Lactate and Ventriculostomy Associated Infections in Patients With Acute Brain Injury - a Prospective, Observational Cohort Study.

Rigshospitalet, Denmark1 个研究点 分布在 1 个国家目标入组 148 人开始时间: 2025年1月15日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
148
试验地点
1
主要终点
Concentration of cerebrospinal fluid lactate

研究概览

简要总结

This observational study involving patients with acute brain injury undergoing treatment with an external ventricular drain consists of three subprojects, aiming to:

  1. investigate various biomarkers, with a primary focus on the development of cerebrospinal fluid lactate in relation to ventriculostomy-associated infection;
  2. compare proximal and distal sample results obtained from an external ventricular drain;
  3. describe the natural progression of various biomarkers in blood and cerebrospinal fluid following acute brain injury.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age >18 years
  • EVD in situ
  • Admission to the neuro-ICU or neurosurgical step-down unit at Rigshospitalet, Denmark
  • Diagnosis of acute brain injury categorized as traumatic brain injury, subarachnoid haemorrhage, intracranial haemorrage, intraventricular haemorrhage

排除标准

  • Patient or closest relatives do not understand written and spoken Danish or English
  • Patients transferred to Rigshospitalet with an EVD
  • Patients with brain injury due to existing brain infection (e.g., meningitis, intracranial empyema or abscess, encephalitis)
  • Patients with existing ventriculoperitoneal or ventriculoatrial shunt at the time of admission
  • Patients with primary or secondary brain cancer
  • Patients died or in palliative care

结局指标

主要结局

Concentration of cerebrospinal fluid lactate

时间窗: Throughout the external ventricular drain duration (1-60 days)

in patients with compared to patients without positive CSF culture, and for b. patients with both a positive CSF culture and a distinct drop in the level of consciousness compared to patients with negative CSF culture and a stable level of consciousness.

次要结局

  • CSF lactate concentration change in patients developing ventriculostomy associated infection(Throughout the external ventricular drain duration (1-60 days))
  • Functional outcome at six months(6 months after the initial brain injury)
  • Comparison of concentration of cerebrospinal fluid markers drawn from the proximal and distal port of the EVD(Throughout the external ventricular drain duration (1-60 days))

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Pernille Rosenfeldt

MD, PhD-student

Rigshospitalet, Denmark

研究点 (1)

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