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Can quantitative evaluation of pupillary parameters in response to pain stimulation be used for prognostication of acute traumatic brain injury patients - A prospective study

Not Applicable
Conditions
Health Condition 1: S064- Epidural hemorrhageHealth Condition 2: S063- Focal traumatic brain injuryHealth Condition 3: S020- Fracture of vault of skullHealth Condition 4: S018- Open wound of other parts of headHealth Condition 5: S068- Other specified intracranial injuriesHealth Condition 6: S066- Traumatic subarachnoid hemorrhageHealth Condition 7: S065- Traumatic subdural hemorrhage
Registration Number
CTRI/2024/02/063090
Lead Sponsor
IMHANS
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

All adult patients (18 - 75 years of age), with moderate to severe TBI admitted to Neuro ICU/ward within 48 hours of injury

Exclusion Criteria

1. Absence of feasibility of performing Quantitative Pupillometry(QP) and ONSD assessment on the eye contralateral to the side with significant TBI (contralateral eye with pupillary disease or significant periorbital oedema where pupillary assessment is not possible)

2. Patients for whom consent is not available

3. Patients with significant co-morbidities/ extra cranial injuries where these are likely to affect survival

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Association between the magnitude of change in QPi (amplitude of photomotor reflex) to noxious stimulation assessed in the contralateral pupil (opposite to injured side) using automated pupillometry and neurological outcome assessed using Glasgow Outcome Scale Extended (GOSE)Timepoint: 1. at discharge <br/ ><br>2. at 3 months
Secondary Outcome Measures
NameTimeMethod
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