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Trauma clinical trials

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NCT ID: NCT04020939 Completed - Trauma Clinical Trials

The Role of Indocyanine Green Angiography Fluorescence on Intestinal Resections in Pediatric Surgery.

Start date: March 16, 2020
Phase: N/A
Study type: Interventional

Background: Intestinal resections are commonly performed in the pediatric population. Perfusion of the bowel is one of the most important factors determining the viability of an intestinal anastomosis. Up to date, no ideal method to assess intestinal perfusion has proven its superiority. Objectives: Primary: The aim of this study is to establish the feasibility and impact of the use of indocyanine green technology on intestinal resection margins during elective and emergency pediatric surgeries. Secondary: The secondary outcomes of interest include collection of adverse events and difficulties encountered with the use of the indocyanine green (ICG) technology. Postoperative surgical complications will also be recorded. Study Design: An open observational clinical study will be performed by using a clinical drug (indocyanine green) and medical device (SPY Fluorescence Imaging) to assess intraoperatively intestinal perfusion in a specific pediatric population.

NCT ID: NCT04008758 Recruiting - Trauma Clinical Trials

Recruitment Maneuver Using Lung Ultrasound in Trauma Patients

Start date: August 1, 2019
Phase: N/A
Study type: Interventional

In trauma patients, the incidence of pulmonary contusion is frequent. Recruit maneuver using lung ultrasound could be improve oxygenation in trauma populatioin, howevere, there is no previous study. The aim of this study is evaluation of the efficacy of lung recruitment using ultrasound in perioperative period in trauma patients.

NCT ID: NCT03999346 Completed - Trauma Clinical Trials

Opportunities and Limitations of Swiss Polytrauma Registry Data for Scientific Purposes- Registry Data for Scientific Purposes

Start date: November 1, 2018
Phase:
Study type: Observational

The aim of the analysis is an evaluation of the current performance of the Swiss Trauma Registry (STR) with respect to providing a reliable basis for (scientific) investigations on the management of trauma patients in Switzerland. The current project tries to address this question by considering central aspects of completeness and by exemplifying the use of the registry for research questions. The aim is to identify potential shortcomings of the registry.

NCT ID: NCT03982628 Not yet recruiting - Sepsis Clinical Trials

ICU Sarcopenia Rates by Abdominal CT: Sepsis vs. Trauma

Start date: August 1, 2020
Phase:
Study type: Observational

Using abdominal computed tomography (CT) imaging, the investigators will estimate total body muscle mass at two time points in Intensive Care Unit (ICU) by assessing cross-sectional muscle areas at the L3 vertebral body level. This allows for a determination of the rate of sarcopenia development in the ICU. With this information, the investigators propose to test if the rates of the development of sarcopenia differ in critically ill subjects with sepsis compared to a reference group of critically ill subjects with trauma (without sepsis).

NCT ID: NCT03974048 Completed - Trauma Clinical Trials

Identification of the Epigenetic Response to Trauma

TrauMeth
Start date: June 3, 2019
Phase:
Study type: Observational

The objective of this study is to investigate potential early alterations in the DNA methylation profile after severe trauma and to investigate if the early marks persist.

NCT ID: NCT03973229 Recruiting - PTSD Clinical Trials

Neuroendocrine Risk for PTSD in Women

Start date: November 11, 2019
Phase: Early Phase 1
Study type: Interventional

This study will test for effects of estradiol (E2) on PTSD symptoms and functional magnetic resonance imaging (fMRI) indicators of stress vulnerability, in naturally-cycling women who are not using hormonal birth control. Enrollment will be targeted to create three groups within two cohorts (early follicular phase and luteal phase): 1. PTSD: Women who meet Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for PTSD 2. Trauma-Exposed (TC): Women matched for age and trauma exposure severity but without PTSD 3. Healthy Control (HC): Women matched for age, but without trauma history or psychiatric disorder (self-reported) Women will be recruited through Grady Trauma Project (GTP), a large longstanding study of civilian trauma and PTSD conducted at Grady Memorial Hospital in Atlanta, Georgia.

NCT ID: NCT03967262 Not yet recruiting - Trauma Clinical Trials

Secondary Prevention and Recidivism Reduction in Trauma Patients

Start date: September 1, 2020
Phase: N/A
Study type: Interventional

The consumption of alcohol and other drugs is one of the main risk factors for traumatism. In addition, patients who have suffered an accident in relation to the consumption of these substances present a high risk of recidivism. In the case of alcohol, its relationship with traumatisms has been known for many years now and is still one of the main risk factors. Secondary prevention is an important area of action and improvement in the treatment of this type of patient by considering actions, such as a brief motivational intervention, in order to avoid recidivism. The objective of motivational intervention is to make the patient aware of the relationship between the consumption of these substances and the accident, and induce them to carry out a change in habits. The objective of the present investigation project is to determine the efficacy of secondary prevention in reducing recurrence of traumatisms. In order to this, a multicenter randomised controlled trial has been designed in which the intervention group with patients admitted for sever traumatism with positive screening for alcohol or other drugs, will be submitted to a brief motivational intervention. The main outcome will be trauma recurrence within a three year follow-up.

NCT ID: NCT03956537 Active, not recruiting - Trauma Clinical Trials

PMCF Neo Pedicle Screw and Cage Systems

Start date: October 15, 2019
Phase:
Study type: Observational

The objectives of this clinical observational study is to evaluate the safety and efficacy (performance) of the Neo Pedicle Screw Systemâ„¢ and the Neo Cage Systemâ„¢ interbody fusion device. To demonstrate non-inferiority of safety and function to an historical control from the published medical literature on competitive devices.

NCT ID: NCT03934983 Completed - Trauma Clinical Trials

Evaluation of the Clinical Performance of the Quantra System With the QStat Cartridge in Trauma

Start date: March 28, 2019
Phase:
Study type: Observational

This pilot study will evaluate the performance of the Quantra System comprised of the Quantra Hemostasis Analyzer with the QStat Cartridge in trauma patients.

NCT ID: NCT03912545 Completed - Trauma Clinical Trials

Evaluation of the Clinical Performance of the Quantra System With the QStat Cartridge

Start date: March 4, 2019
Phase:
Study type: Observational

This pilot study will evaluate the performance of the Quantra System comprised of the Quantra Hemostasis Analyzer with the QStat Cartridge in trauma patients or patients with OB hemorrhage.