Brain Injuries, Traumatic
Conditions
Brief summary
The purpose of this study is to determine if specific brain injury biomarkers have utility as blood-based traumatic brain injury (TBI) diagnostic and monitoring tools. This will be accomplished by examining the relationships between potential serum-based TBI biomarkers and clinical measures of injury severity, occurrence of complications, and outcome, in subjects with mild or moderate TBI as well as in orthopedic control subjects.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Mild/Moderate TBI Group Inclusion Criteria: 1. 18 years or older 2. GCS 9-15 3. CT scan as part of clinical evaluation 4. experienced some level of altered mental state at time of injury 5. determination of study eligibility within 4 hours of injury
Exclusion criteria
1. Pregnant females 2. Prisoners 3. Anemia or significant blood loss (hemoglobin \< 12 mg/dL and/or hematocrit \< 35%, and/or clinical state requiring resuscitation with more than 6L of colloid or crystalloid fluid) 4. no clear history of trauma as primary event 5. previous history of stroke, or head injury requiring hospitalization 6. dementia or psychotic illness or neurological condition which may affect outcome 7. unable to speak or understand English Orthopedic Control Group Inclusion Criteria: 1. 18 years or older 2. Isolated extracranial orthopedic injury, including fractures 3. Stable vital signs on presentation to ED (pulse \< 100bpm and systolic blood pressure \> 100 mmHg)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of biomarkers to identify patients with TBI from orthopedic controls | 4 hours |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of biomarkers to identify patients with brain lesions on CT scan | 4 hours |
Other
| Measure | Time frame |
|---|---|
| Assessment of biomarkers to identify patients with acute post-injury alterations in mental status | 96 hours |
| Assessment of biomarkers to identify patients that may have longer-term post-injury neurological deficits using neuropsychological assessments | Day 30 |
Countries
United States