- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04105673
Predictors of Sequelae Appearance in Shaken Baby Syndrome (FPASSBS)
Prognostic Factors for Sequelae in Children With a History of Shaken Baby Syndrome in the Central Region
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Abusive head trauma is a severe inflicted traumatic brain injury, occuring under the age of 1 year, defined by an acute brain injury (mostly subdural or subarachnoidal haemorrhage), where no history or no compatible history with the clinical presentation is given.
This is secondary to violent shaking, with or without impact, of an infant by an adult, sufficient to cause brain injury. The mortality rate is estimated at 20-25% and growth of child is extremely poor. High rates of impairment are reported : motor deficit (spastic hemiplegia or quadriplegia), epilepsy often intractable, microcephaly with corticosubcortical atrophy, visual impairment even the blindness, language disorders, cognitive (intellectual deficit), behavioral (agitation, aggression, attention deficit, inhibition deficit) and sleep disorders. Several studies on the subject highlighted that an initial severe presentation is associated with worse growth.
These is very limited research on the outcome of inflicted traumatic brain injury and the results are heterogeneous. The study hypothesis is the prognosis of the sequelae children develop according to the severity criteria presented in admission to the hospital for the Shaken Baby Syndrome.
This is an epidemiological, observational, prognostic and prospective study. The severity criteria are clinical high intracranial pressure, presence of a coma, vitreous haemorrhage, an age under 6 months, other injuries than subdural hematoma (parenchymal injuries, ischemia or cerebral oedema).
The severity criteria were chosen by studying others studies on the subject. Children concerned had been admitted to hospital for Shaken Baby Syndrome between 2010 and 2014 in France, in the Central Region. Thus today, they are between five and eight years old. We know that sequelae occur after latency, in particular when children learn to read and write.
Primary purpose is to evaluate prognostic factors to develop sequelae after an inflicted traumatic brain injury as the shaken baby syndrome.
Study Type
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Children must be between five and eight years old
- Hospitalization before one year old for a Shaken Baby Syndrome in the Center Region in France
Exclusion Criteria:
- Opposition of the legal representative to use the data
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Shaken Baby Syndrome
Realization of a clinical examination and survey on children with a past history of a Shaken Baby Syndrome
|
Children will be seen during an one consultation.
A clinical examination and survey are realized.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the sequelae motor developed by children with a past history of a Shaken Baby Syndrome.
Time Frame: At the inclusion (Day 1)
|
The motor function is assessed by clinical neurological examination.
|
At the inclusion (Day 1)
|
the cognitive sequelae developed by children with a past history of a Shaken Baby Syndrome
Time Frame: At the inclusion (Day 1)
|
The cognitive function is assessed by the Wechler Scale (WPPSI IV).
This scale assesses the verbal understanding, spatial visual understanding, fluid reasoning, work memory and treatment speed.
|
At the inclusion (Day 1)
|
the behavioral sequelae developed by children with a past history of a Shaken Baby Syndrome.
Time Frame: At the inclusion (Day 1)
|
Adaptive behavior is measured using the Vineland Adaptive Behavior Scales.
This scale assesses 4 fields : communication, autonomy, socialization and motor function
|
At the inclusion (Day 1)
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Pauline Saint Martin, MD-PhD, University Hospital, Tours
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- RIPH3-RNI18/FPASSBS
- 2018-A03098-47 (Other Identifier: IdRCB)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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