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临床试验/NCT03856528
NCT03856528撤回不适用

Infections of the Central Nervous System - an Observational Cohort Study

University Hospital, Basel, Switzerland1 个研究点 分布在 1 个国家目标入组 500 人开始时间: 2019年3月1日最近更新:
适应症

试验速览

阶段
不适用
状态
撤回
发起方
入组人数
500
试验地点
1
主要终点
Pathologic CT findings

研究概览

简要总结

This study is to describe the incidence of infectious meningitis and/or encephalitis, and to analyze clinical, diagnostic and treatment characteristics of patients with suspected (and subsequently verified and not verified) infection.

详细描述

The specific aims of the study include:

  1. To assess the incidence, the diagnostic workup, and the treatment characteristics of patients with suspected and confirmed ME.
  2. To examine clinical differences between patients with initially suspected and confirmed infectious Meningitis (ME) versus those with suspected but not confirmed infectious ME.
  3. To evaluate potentially prognostic factors for pathological CT findings (especially expanding cerebral mass lesions) in patients with suspected infectious ME.
  4. To identify a specific group of patients that benefit from cranial CT prior to LP.
  5. To examine possible complications (e.g., hematoma, postpuncture headache, cerebral herniation, ...) of lumbal punction (LP) and their correlations to pathologic signs on cranial CT.
  6. To compare the outcome between patients with suspected infectious ME and cranial CT prior to LP versus patients without prior cranial CT.

研究设计

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

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

  • All patients aged ≥18 years admitted to the University Hospital Basel with confirmed infectious meningitis and/or encephalitis as principal and/or secondary diagnosis from January 2006 to December 2021 with or without cranial CT prior to LP
  • All patients aged ≥18 years admitted to the University Hospital Basel over the same time period with suspected infectious meningitis and/or encephalitis as principal and/or secondary diagnosis with or without cranial CT

排除标准

  • Patients without suspected infectious meningitis and/or encephalitis.
  • Patients with the diagnosis of meningitis/encephalitis confirmed prior to hospital admission
  • Patients who have refused "General Consent" (i.e., written agreement of patients which allows the further use of their collected medical data for research purposes in encoded form).

结局指标

主要结局

Pathologic CT findings

时间窗: single time point assessment during hospital stay (up to 4 weeks)

assessment of number of patients with pathologic CT findings

Pathologic CT findings constituting a risk factor for herniation after performance of LP

时间窗: single time point assessment during hospital stay (up to 4 weeks)

assessment of number of patients with pathologic CT findings constituting a risk factor for herniation after performance of LP

incidence of patients with suspected and confirmed ME (number)

时间窗: single time point assessment during hospital stay (up to 4 weeks)

assessment of number of patients with suspected and confirmed ME

次要结局

  • Glasgow Outcome Score(single time point assessment during hospital stay (up to 4 weeks))
  • cerebral herniation (number)(single time point assessment during hospital stay (up to 4 weeks))
  • Intensive Care Delirium Screening Checklist (ICDSC)(single time point assessment during hospital stay (up to 4 weeks))
  • hematoma (number)(single time point assessment during hospital stay (up to 4 weeks))
  • pathological CT findings (number)(single time point assessment at hospitalisation (Day1))
  • postpuncture headache (number)(single time point assessment during hospital stay (up to 4 weeks))
  • kind of medication(single time point assessment during hospital stay (up to 4 weeks))
  • Death during hospital stay(single time point assessment during hospital stay (up to 4 weeks))
  • Return to premorbid functional baseline(single time point assessment during hospital stay (up to 4 weeks))

研究者

发起方
University Hospital, Basel, Switzerland
申办方类型
Other
责任方
Sponsor

研究点 (1)

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