Health Condition 1: null- Patients sustaining traumatic brain injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All head trauma patients who had trauma within 24 hours of hospital admission in whom the treating doctor has excluded continuing bleeding. 2. All head trauma patients who have undergone one or more neurosurgical procedures in the last 24 hours in whom the treating doctor has excluded rebleeding at the operative site and there are no other sites of continuing bleeding.
Exclusion criteria
Exclusion criteria: 1.Patientsâ?? â??whoâ?? â??areâ?? â??alreadyâ?? â??onâ?? â??anticoagulantsâ?? â??orâ?? â??antiplateletâ?? â??drugs 2.Patientsâ?? â??whoâ?? â??haveâ?? â??abnormalâ?? â??postoperativeâ?? â??bleeding detected during or after surgery. 3.Patientsâ?? â??whoâ?? â??areâ?? â??knownâ?? â??toâ?? â??haveâ?? â??bleedingâ?? â??disorders 4.Patientsâ?? â??whoâ?? â??haveâ?? â??beenâ?? â??onâ?? â??sequentialâ?? â??pneumaticâ?? â??compressionâ?? â??device 5.Patientsâ?? â??whoâ?? â??haveâ?? â??aâ?? â??knownâ?? â??historyâ?? â??orâ?? â??clinicalâ?? â??documentationâ?? â??ofâ?? â??VTE 6. Patients who are known to be allergic to heparin 7.Patientsâ?? â??whoâ?? â??areâ?? â??likelyâ?? â??toâ?? â??beâ?? â??dischargedâ?? â??withinâ?? â??sevenâ?? â??daysâ?? â??ofâ?? â??hospitalization 8. Moribundâ?? â??patientsâ?? â??whoâ?? â??areâ?? â??unlikelyâ?? â??toâ?? â??surviveâ?? â??sevenâ?? â??days 9. Pregnantâ?? â??patients 10. Pediatricâ?? â??patientsâ?? â??belowâ?? â??theâ?? â??ageâ?? â??ofâ?? â??12â?? â??years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of VTE when anticoagulation is initiated at 24, 48 and 72 hoursTimepoint: incidence of VTE when anticoagulation is initiated at 24, 48 and 72 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of bleeding complications in the 24, 48 and 72 hour arms Timepoint: CT scans done at 48 hours and 96 hours provided no unscheduled scans were done within 12 hours of these mandatory scans. | — |
Countries
India
Contacts
Jawaharlal Institute of Post graduate Medical Education and Research