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Hyperfibrinolysis in moderate to severe traumatic brain injury-related coagulopathy

Completed
Conditions
Traumatisch schedelhersenletsel
neurotrauma
Traumatic Brain Injury (TBI)
Registration Number
NL-OMON37358
Lead Sponsor
Vrije Universiteit Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
100
Inclusion Criteria

- Patients with moderate to severe traumatic brain injury
- Glasgow Coma Scale (GCS) score between 3 and 13 upon ED admission
- Age 18-75 years

Exclusion Criteria

- Patients with hemostatic deficiencies or previous hemostatic problems
- Prehospital traumatic cardiopulmonary resuscitation
- Emergency surgery in the hour following ED admission
- Absence of a peripheral intravenous catheter
- Patients using vitamin K antagonists, clopidogrel or dabigatran
- Pregnancy

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>- Level of fibrinolysis using rotation thromboelastometry (ROTEM)<br /><br>- DIC using ISTH DIC scoring system (platelet count, D-dimer, prolonged PT and<br /><br>fibrinogen level)<br /><br>- Tissue hemoglobin oxygenation using near infrared spectroscopy (NIRS)<br /><br>- Endothelial barrier function will be analyzed in an Electric Cell-Substrate<br /><br>Impedance Sensing (ECIS) system </p><br>
Secondary Outcome Measures
NameTimeMethod
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