CTRI/2023/10/058309尚未招募3 期
Randomized controlled trial comparing the outcome of surgical decision-making guided by a bleed-to-brain ratio in computerized tomography scans versus a group where the decision-making is done randomly in the management of traumatic intraparenchymal hematomas. - NI
Jawaharlal Institute of Post-graduate Medical Education and Research (JIPMER)0 个研究点目标入组 0 人开始时间: 待定最近更新:
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
入选标准
- •Patients aged 18 to 50 who had sustained head trauma in the last 48 hours and the CT scan shows intraparenchymal bleeding where the treating team is not certain whether to operate or manage conservatively immediately.
排除标准
- •Severe head trauma where the patient is not expected to survive 48 hours with or without surgery (for example, GCS E1M2V1 with bilaterally dilated pupils).
- •Patients with other life-threatening systemic injuries like flail chest, abdominal hollow viscus perforation
- •Depressed fracture or decompressive craniectomy where a BBR cannot be calculated accurately
- •Patients with pre-existing neurological deficits like stroke or previous major head trauma.
- •Patients with pure extradural bleeding or acute subdural hematoma without an intraparenchymal bleed(contusion).
- •If the patient cannot be taken up for surgery in the next 12 hours due to logistic reasons like a long waiting list for emergency surgery.
- •A patient with a clear indication for surgery, say, by brain trauma foundation guidelines.
- •Pre-existing fatal/serious medical disease like advanced renal failure, liver failure, or cardiac disease which could by itself threaten life in the next three months, etc.
研究者
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