Head Trauma Clinical Trial
Official title:
Monitoring of Intracranial Hemorrhage in Non-severe Head Trauma Patients Hospitalized in the UHCD. Indication of a Control Imaging ?
The non-neurosurgical management of post-traumatic cerebral hemorrhagic lesions is currently poorly codified. It consists of neurological monitoring for 24 to 48 hours, and the performance of an almost systematic brain scan. Anti-aggregation and anticoagulation treatments are stopped for 14 to 28 days and should be resumed according to the risk-benefit ratio and the advice of the patient's treating physicians and cardiologists. If the bleeding lesions do not progress, the patients are allowed to return home. If the lesions progress, the patients remain hospitalized for further monitoring, a new brain scan and neurosurgical advice. This study seeks to show that the performance of systematic brain imaging in the absence of clinical deterioration of patients admitted to the UHCD for post-traumatic intracranial hemorrhage could be avoided, and thus to administer an unnecessary dose of irradiation to the patients, and would also have a significant financial stake. Several recent studies have shown that there is no need to perform a follow-up brain scan in the absence of neurological deterioration, even in anticoagulated patients or those on antiplatelet drugs. Despite the growing number of articles, no recommendation or consensus has been proposed.
n/a
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03291964 -
Rapid MRI for Acute Pediatric Head Trauma
|
||
Completed |
NCT02828306 -
Computer Based Algorithm for Patient Specific Implants for Cranioplasty in Patients With Skull Defects
|
||
Completed |
NCT04505293 -
Assessment of InfraScanner 2000™ in Detecting Subdural and Epidural Hematomas
|
N/A | |
Not yet recruiting |
NCT02232347 -
Ketamine and Glutamate After Brain Injury : a Microdialysis Study
|
Phase 2 | |
Completed |
NCT01448473 -
Is a Two-Film Skull X-ray Series as Sensitive as a Four-Film Series in the Diagnosis of Skull Fractures in Paediatric Patients
|
N/A | |
Terminated |
NCT00847977 -
Interest of Using Balanced Fluid for Infusion at the Early Phase of an Acute Cranial Trauma for Limiting Hyperchloremic Acidosis
|
Phase 3 | |
Completed |
NCT00622778 -
Immunemodulation in Patients With Minor Head Injury
|
N/A | |
Completed |
NCT04495634 -
Evaluation of a Carbon Nanotube Enabled Solid-State Head CT
|
N/A | |
Terminated |
NCT03680911 -
NAC for Head Trauma-induced Anosmia
|
Phase 3 | |
Completed |
NCT03742427 -
Effect of Cervical Collar on the Optic Nerve Sheath Diameter in Minor Head Trauma
|
N/A | |
Terminated |
NCT06246500 -
Severe Head Trauma: Coagulation and CT-Scan Aggravation.
|
||
Withdrawn |
NCT03453749 -
Anti-secretory Factor as a Treatment for Adults With Severe Traumatic Head Injury
|
Phase 2 | |
Completed |
NCT00995683 -
Preventive Sodium Lactate and Traumatic Brain Injury
|
Phase 2/Phase 3 | |
Not yet recruiting |
NCT05195606 -
The Effect of Auditory and Tactile Stimuli in Traumatic Coma
|
N/A | |
Completed |
NCT04020874 -
Reducing Head Impact Exposure in Hawaii High School Football
|
N/A | |
Not yet recruiting |
NCT06113939 -
Prevention of Infection of the Respiratory Tract Through Application of Non-Invasive Methods of Secretion Suctioning
|
N/A | |
Recruiting |
NCT05386966 -
Medicolegal Aspects of Head Trauma
|
||
Not yet recruiting |
NCT03704272 -
Supervisory Neglect, Non-Accidental Trauma, Brief Intervention, and Treatment Referral
|
N/A | |
Active, not recruiting |
NCT00196131 -
Problems With Morphine Use in Patients With a Severe Brain Injury
|
Phase 1/Phase 2 | |
Withdrawn |
NCT02798601 -
Early Induced Hypernatremia for the Prevention and Management of Brain Edema
|
N/A |