moderate traumatic brain injury. Unspecified intracranial injury
Conditions
Interventions
Intervention 1: Control group: Head CT scan without contrast routinely in all patients, In the control arm, a follow-up routine CT will be performed for all patients 6 hours after the initial CT scan.
Sponsors
Fasa University of Medical Sciences
Eligibility
Sex/Gender
All
Age
19 Years to 95 Years
Inclusion criteria
Inclusion criteria: The patient is in the first 6 hours after the onset of symptoms According to the PECARN criteria, the patient was taken without a brain contrast agent at the time of CT scan Glasgow Coma Score scale of the patient should be between 8 and 14 The patient is not a candidate for neurosurgical surgery The patient or his first-degree companion is willing to participate in the study consciously The patient is not a candidate for emergency surgery from another service The patient's vital signs are completely stable without the need for inotropic drugs The patient is not pregnant The patient does not have Anisocoria The patient has no seizures or no focal neurological deficit
Exclusion criteria
Exclusion criteria: Glasgow Coma Score scale=3 and bilaterally fixed dilated pupils From the beginning of the study, the patient may experience a drop in GCS The need for neurosurgery or any other surgery at any time from the start of the study The unwillingness of the patient or his first-degree companions to participate in the study Lack of trust in the patient's neurological examination for any reason (psychologic cases, low compliance of the patient or companions, initiation of sedative drugs) Perform a brain CT scan for any reason earlier than 6 hours after the initial CT scan Previous use of anticoagulant drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need for surgical intervention. Timepoint: 6 hours and 30 day. Method of measurement: Patient file. | — |
Secondary
| Measure | Time frame |
|---|---|
| Death. Timepoint: 6 hours and 30 days. Method of measurement: patient file.;Length of hospital stay. Timepoint: 6 hours and 30 days. Method of measurement: patient file. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAdrina Habibzadeh
Fasa University of Medical Sciences
Outcome results
None listed