Brain Trauma Outcomes in Nova Scotia Study

Brain Trauma Outcomes in Nova Scotia

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01225692

Acronym

BTOS

Enrollment

Registered

2010-10-21

Start date

2004-02-29

Completion date

2009-06-30

Last updated

2010-10-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Brain Injuries,Traumatic, Craniocerebral Trauma, Emergency Medical Services, Organizational Innovation, Outcome Assessment (Health Care)

Keywords

Brain Injury, Head Trauma, Trauma Systems, Head Injury Guideline, Time to Tertiary Care

Brief summary

The goals of this study are to identify outcome indicators of optimal care for brain injury patients, including pre-hospital care, prompt delivery to neurosurgical care and access to early rehabilitation services. Nova Scotia's centralized Neurosurgical services and integrated provincial Emergency Health Services provide a rich opportunity to construct a cohesive, integrated data management system. This system will allow us to answer important research questions related to the outcomes, care and prevention of brain trauma. Retrospective data collection The retrospective arm of the BTO study has created full data sets and care pathways from multiple sources covering the continuum of brain trauma care. Investigators continue to analyze this large amount of data and prepare it for publication. Prospective data Collection Patients with a major head injury (initial GCS 3-12), have been considered for enrollment in the BTO study.The prospective arm of the BTO study has 52 patients enrolled. Screening and Enrollment was complete on June 30, 2007. These patients are participating in long term follow up at 6, 12 and 24 months post injury for assessment of qualitative and quantitative outcomes. Completion of patient follow up will be in June 2009.

Interventions

BEHAVIORALHead Injury Guideline

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

HEALTH_SERVICES_RESEARCH

Eligibility

Sex/Gender

ALL

Inclusion criteria

Retrospective Arm Cohort 1: AIS ≥ 3, head +/- other injuries Cohort 2: AIS ≥ 3, isolated head injury (cohort 2 is a subset of cohort 1) Inclusion Criteria: 1.patient treated in at least one facility prior to arrival at QEII.

Exclusion criteria

1. injured out of province 2. time from injury to 1st facility presentation known to be \> 24 hours 3. time arrival at 1st referring facility to time arrive at QEII known to be \> 24 hours 4. direct ground or air scene transport Prospective Arm: Inclusion Criteria: 1. have a head injury requiring hospital admission 2. able to provide informed consent or have next- of -kin able to provide consent on patients' behalf

Design outcomes

Primary

Measure	Time frame	Description
Time Measurement; Hours:minutes	—	Time as measured by ; Time Elapsed from Injury Time to Time of Arrival at Tertiary Care

Secondary

Measure	Time frame	Description
Clinical Follow-up; Numerical Score 1-5;Glasgow Outcome Scores (GOS)	—	Glasgow Outcome Scores (GOS) Score ranges from: 5 Good Recovery (Resumption of normal life despite minor deficits) 4 Moderate Disability(Disabled but independent. Can work in sheltered setting) 3 Severe Disability (Conscious but disabled. Dependent for daily support) 2 Persistent vegetative (Minimal responsiveness) 1 Death (Non survival)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026