Patients with spontaneous subarachnoid haemorrhage (non-traumatic) admitted to the Intensive Vare Unit of the Royal London Hospital.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18-70 Hunt and Hess (1974) Subarachnoid haemorrhage Grade 3-5 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Preganccy Pre-existing renal failure Pre-existing hepatic failure Participation in other intervention trials in the past 30 days Refusal of consent from the patient or assent from the next of kin Foreseeable imminent death
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The mortality of patients with subarachnoid haemorrhage admitted to the Intensive Care Unit is about 25%. Studies of patients with severe burns and sepsis(infection) have shown that when they are admitted to the intensive care unit, the selenium levels are very low. Our primary objective is to demonstrate that by administering selenium to subarachnoid haemorrhage patients, we can raise selenium levels to normal.;Secondary Objective: In the body selenium helps the activity of an enzyme called gluthathione peroxidase. This enzyme is used to remove toxic substances from the body. These toxic substances build up in critically ill patients. This is especially true in subarachnoid haemorrhage patients where there is spasm of the blood vessels supplying the brain resulting in ischaemia. We will measure the gluthathione peroxidase activity in the selenium group of patients and compare it to the control group We will also seek information on -mortality -Duration of antibiotics -Number of days on ventilator -Length of intensive care unit stay -Length of hospital stay -Adverse events ;Primary end point(s): Plasma selenium lebvels | — |
Countries
United Kingdom