- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02894034
Is the Measured Diameter of the Optic Nerve Sheath by Cerebral Scan in Patients With Early-phase Meningeal Hemorrhage, Due to a Ruptured Aneurysm, a Prognostic 6-month Mortality Factor ? (GAINE)
Is the Measured Diameter of the Optic Nerve Sheath by Cerebral Scan in Patients With Early Phase Meningeal Hemorrhage Due to a Ruptured Aneurysm a Prognostic 6-month Mortality Factor?
Study Overview
Status
Conditions
Detailed Description
Sub Arachnoid Hemorrhage (SAH) is a public health concern because of its high incidence (7/100 000 inhab.), its mortality rate (25%), and its morbidity rate (50%).
Prognostic tools are indispensable in guiding and optimizing the care of these patients.
Some diagnostic factors have been identified (e.g. age, comorbidities, ACSOS , GCS, ICP, occurrence of complications) as well as some classification schemes used for grading seriousness of the disease (Hunt and Hess, World Federation of NeuroSurgery).
A tool that is simple, reliable, reproducible, non costly, non invasive, and simple to perform (including remote methods and without changing planned patient care) would be ideal.
The measurement of the Optic Nerve Sheath Diameter (ONSD,) correlated by MRI and ultrasound in previous studies, with intra-cranial pressure (ICP: a fundamental prognostic factor for SAH) could be one of these tools.
This measurement, previously demonstrated using ultrasound, could be carried out at the time of the patient's initial cerebral scan.
In practice, at admission each patient undergoes a cerebral CT scan much more often than an ultrasound (faster, less costly, less technical training required).
Two preliminary studies seem to suggest that this measurement of ONSD on CTc is a predictive factor for morbi-morbidity in patients having serious traumatic skull fractures.The measurement is reliable, reproducible, non invasive, and non costly, with good sensitivity and specificity.
Proving that it is also applicable to SAH could be particularly useful.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Amiens, France, 80054
- CHU Amiens
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients 18 years or older
- Patient admitted to the Neurosurgical Urgent Care Unit for SAH following a ruptured aneurysm
- Patients or one of their loved ones providing written informed consent
- Patients with healthcare coverage
Exclusion Criteria:
- Unavailability of a CTc in the initial phase (within the first 12 hours) or absence of 1-mm slices from the scan
- Trauma to the optic globe or optic nerve pathology
- Preexisting anomalies of ICP or history of neurosurgical cerebral pathologies
- SAH of non aneurysm origin (e.g. arterio-venous malformation (AVM), tumor, trauma, sepsis)
- Patients under legal protection
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
patient survival
Time Frame: month 6
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patient survival
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month 6
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Collaborators and Investigators
Investigators
- Principal Investigator: Patrick JEANJEAN, MD, CHU Amiens
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PI2013_843_0009
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