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临床试验/NCT04945603
NCT04945603招募中不适用

Poor Grade Aneurysmal Subarachnoid Hemorrhage Multicentric Study Group

IRCCS San Raffaele10 个研究点 分布在 1 个国家目标入组 800 人开始时间: 2021年5月25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
800
试验地点
10
主要终点
Clinical Outcome

研究概览

简要总结

Multicentric registry study in order to define outcome, predictors, treatment effects and their modifiers in poor grade aneurysmal subarachnoid haemorrhage patients.

The search for outcome predictors is going to be subdivided into three main research areas:

  1. outcome predictors in the emergency department (so called "early brain injury phase").
  2. outcome predictors in the neurocritical care unit (so called "delayed brain injury phase").
  3. Treatment strategies. Two other areas of research are identified: delayed cerebral ischemia (incidence, treatment, predictors, impact on outcome) and long term follow-up (recent evidences suggest that there may be a non-negligible proportion of poor grade subarachnoid hemorrhage patients who may benefit from substantial improvement at long-term (after 6-12 months of follow-up).

研究设计

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

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

  • Patients admitted to the emergency department because of aneurysmal subarachnoid hemorrhage of poor grade (IV-V) according to the WFNS classification.

排除标准

  • Patients younger than 18 years old.
  • Pregnant or breast-feeding patients.
  • Aneurysmal subarachnoid hemorrhage due to trauma or vascular malformations other than cerebral aneurysms.

结局指标

主要结局

Clinical Outcome

时间窗: 12 months

modified Rankin Scale (mRS). Scale ranging from 0 (no symptoms) to 6 (dead) with higher scores indicating increasing neurological disability.

次要结局

  • Rebleeding(onset-48hours)
  • Delayed Cerebral Ischemia(onset-30 days)
  • Long-Term clinical outcome(12-60 months)
  • Decompressive Craniotomy(onset-3 weeks)
  • Treatment Complications(onset-1 week)
  • CSF drainage(onset-3 weeks)
  • Volumetric analysis of intracranial bleeding(onset-24hours)
  • Volumetric analysis of delayed cerebral ischemia(onset-3 weeks)
  • Ventriculo-peritoneal shunt(onset-4 weeks)

研究者

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

Pietro Panni

Principal Investigator

IRCCS San Raffaele

研究点 (10)

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