Cerebral Hemorrhage Clinical Trial
Official title:
Emergency Management of Spontaneous Intracerebral Haemorrhage - Biomarkers
The bio-markers substudy of EsICH is designed to recruit patients with acute (first 8h) spontaneous intracerebral hemorrhage and assess a series of biological parameters (CBC, glucose, cholesterol, LDL cholesterol, triglycerides) and point-of-care bio-markers (cTnI, hsCRP, D-Dimer) in order to predict the functional outcome of these patients and to determine their input for early risk stratification and prognosis.
EsICH is designed as a multicenter double blind randomized (2:1) clinical trial assessing the
effects of tranexamic acid (2g in total) on patients with acute (first 8h) spontaneous
intracerebral hemorrhage.
The bio-markers substudy addresses the same category of patients and assesses biological
parameters (CBC, glucose, cholesterol, LDL cholesterol, triglycerides) and point-of-care
bio-markers (cTnI, hsCRP, D-Dimer) in order to predict the functional outcome of these
patients and to determine their input for early risk stratification and prognosis.
The patients with a diagnostic CT scan are recruited in the Emergency Departments or
Neurology/ Neurosurgery Wards of the hospitals enrolled in the study and blood samples are
drawn in the first 8h from the onset of the condition. The patient is then clinically
assessed by the study investigators for the first 7 days of the admission and a second CT
scan is performed on the second day (24h from the onset of the condition).
Telephone follow-ups will be completed on day 90 and 180 by the coordinating center of the
study.
The bio-markers substudy is an observational, prospective multicenter (the study will be
initially started in one center - Cluj-Napoca - and then the Tirgu Mures center will be
activated. Two more centers might be also included on a later time - Alba and
Bistrita-Nasaud, pending on financial and logistic reasons).
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