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Effect of dexamethasone (DXM) therapy in patients with a brain bleed: A comparision of a non-operative treatment versus surgery on patient recovery.

Recruiting
Conditions
EN: Chronic subdural hematoma, CSDH, dexamethasone, DXMNL: Chronisch subduraal hematoom, dexamethason
Registration Number
NL-OMON21208
Lead Sponsor
Department of Neurosurgery and NeurologyHaaglanden Medical Centre, The Hague
Brief Summary

In preparation: Manuscript regarding protocol publication.

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
170
Inclusion Criteria

In order to be eligible to participate in this study, a subject must meet all of the following criteria:

1) Presence of a chronic subdural haematoma

Exclusion Criteria

A potential subject who meets any of the following criteria will be excluded from participation in this study:

1) an acute subdural haematoma

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The main primary endpoint in is the functional outcome, as expressed by mRS, in both treatment arms at 3 months.
Secondary Outcome Measures
NameTimeMethod
Secondary outcomes include: clinical outcome at discharge, 2 weeks and at 6 months (expressed by mRS and MGS), the number of surgical intervention prevented in the DXM group, quality of life (as expressed by the Short Form – 36 Health Survey, SF-36) at 6 months, haematoma thickness after 2 weeks, haematoma recurrence (defined as recurrence of symptoms and neurological signs after initial improvement with persistence, recurrence or increase of CSDH on follow up cranial CT) during the first 6 months, complications and drug related adverse events, mortality, duration of hospital stay and health care costs in both subject groups.
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