ACTRN12609000764235招募中未知
Multi-centre randomised trial to evaluate the effect of early hypothermia on neurological function in patients with severe traumatic brain injury.
Australian and New Zealand Intensive Care-Research Centre, Monash University0 个研究点目标入组 500 人开始时间: 2009年9月3日最近更新:
适应症
试验速览
- 阶段
- 未知
- 状态
- 招募中
- 发起方
- 入组人数
- 500
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomised controlled trial
- 主要目的
- Treatment
- 盲法
- Open (masking not used)
入排标准
- 年龄范围
- 18 Years 至 60 Years(—)
- 性别
- All
入选标准
- •Pre-hospital Inclusion Criteria
- •*Blunt trauma with clinical diagnosis of severe Traumatic Brain Injury (TBI) and Glasgow Coma Scale <9
- •*Estimated age = 18 and < 60 years of age
- •*The patient is intubated or intubation is imminent
- •Emergency Dept Inclusion Criteria
- •*Blunt trauma with clinical diagnosis of severe TBI and GCS <9
- •*Estimated age > or = 18 and < 60 years of age
- •*The patient is intubated or intubation is imminent
排除标准
- •***********Pre-hospital Exclusion Criteria
- •Clinical diagnosis of drug or alcohol intoxication as predominant cause of coma
- •Randomisation unable to be performed within 3 hrs of estimated time of injury
- •Estimated transport time to study hospital >2.5hrs
- •Able to be intubated without drugs
- •Systolic BP <90mmHg
- •Heart rate > 120bpm
- •Cardiac arrest at the scene or in transit
- •GCS=3 and un-reactive pupils
- •Penetrating neck/torso injury
- •Known or obvious pregnancy
- •Receiving hospital is not a study site
- •Evidence of current anti-coagulant treatment
- •Known to be carer dependent due to a pre-existing neurological condition
- •***********Emergency Dept Exclusion Criteria
- •Clinical diagnosis of drug or alcohol intoxication as predominant cause of coma
- •Randomisation unable to be performed within 3 hrs of estimated time of injury
- •Able to be intubated without drugs
- •Persistent Systolic BP <90mmHg
- •GCS=3 + un-reactive pupils
- •Cardiac arrest at the scene or in transit
- •Clinically significant bleeding likely to require haemostatic intervention, for example:
- •Bleeding into the chest, abdomen or retro-peritoneum likely to require surgery +/- embolisation
- •**Pelvic fracture likely to require surgery +/- embolisation
- •**More than two long bone fractures requiring operative fixation
- •**Penetrating neck/torso injury
- •Positive urine or blood pregnancy test
- •Evidence of current anti-coagulant treatment
- •Known to be carer dependent due to a pre-existing neurological condition
- •In the treating clinician’s opinion, cooling” is not in the patient’s best interest
研究者
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