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- Essai clinique NCT07822724
Outcomes of Traumatic Intracranial Hemorrhage in the Elderly
Traumatic Intracranial Hemorrhage in the Elderly: Prognostic Factors and Outcomes
This observational study aims to describe the clinical and radiological characteristics of older adults (aged 65 years and older) who experience traumatic bleeding in the brain, also known as traumatic intracranial hemorrhage. In older patients, even minor head injuries like a simple ground-level fall can lead to significant brain bleeding due to age-related changes, frailty, and the frequent use of blood-thinning medications.
The researchers will prospectively monitor geriatric patients admitted to the hospital with a traumatic brain bleed confirmed by a CT scan who are being treated conservatively (without surgery). During the hospital stay, the research team will collect data on the patients' pre-injury health status, current clinical condition, and specific findings on their brain scans.
The main goal of the study is to assess the patients' functional recovery and survival by the time they are discharged from the hospital. By observing these cases, the study seeks to identify which specific clinical signs and radiological factors help predict poor or favorable outcomes, ultimately aiming to improve the management and care of older adults with head trauma.
Aperçu de l'étude
Statut
Les conditions
Type d'étude
Inscription (Estimé)
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte plus âgé
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Age 65 years or older.
- History of blunt or traumatic head injury.
- CT-confirmed intracranial hemorrhage.
- Conservatively managed patients.
- Availability of clinical and radiological data.
- Consecutive eligible patients during the defined study period.
Exclusion Criteria:
- Non-traumatic intracranial hemorrhage.
- Age less than 65 years.
- Incomplete medical records.
- Patients with major pre-existing intracranial pathology that prevents proper analysis.
- Penetrating brain injury.
- Surgically managed patients.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
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Geriatric Patients with Traumatic Intracranial Hemorrhage
This cohort consists of conservatively managed patients aged 65 years or older with a history of blunt or traumatic head injury and CT-confirmed intracranial hemorrhage.
Patients who are managed surgically or those with a penetrating brain injury are excluded from this cohort.
Because this is an observational study, no experimental interventions are administered to the participants.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Functional outcome assessed by the Glasgow Outcome Scale-Extended (GOSE)
Délai: Baseline
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Functional outcome will be evaluated using the Glasgow Outcome Scale-Extended (GOSE).
The GOSE scale ranges from 1 to 8, where higher scores indicate a better functional outcome.
The results are subsequently categorized to define an unfavorable outcome as a GOSE score of 1-4, and a favorable outcome as a GOSE score of 5-8.
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Baseline
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Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
- Troubles cérébrovasculaires
- Maladies du cerveau
- Maladies du système nerveux central
- Maladies du système nerveux
- Maladies vasculaires
- Maladies cardiovasculaires
- Blessures et Blessures
- Processus pathologiques
- Hémorragie
- Traumatisme, système nerveux
- Hémorragies intracrâniennes
- Lésions cérébrales
- Conditions pathologiques, signes et symptômes
- Hématome
- Lésions cérébrales, traumatiques
- Hématome sous-dural
- Traumatisme crânio-cérébral
- Hématome, péridural, rachidien
- Hémorragie intracrânienne, traumatique
Autres numéros d'identification d'étude
- Traumatic ICH in the Elderly
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