Traumatic Brain Injury
Conditions
Brief summary
in this study the investigators compare between the neuroprotective effect of vitamin d versus dexmedetomidine in patients with traumatic brain injury using interleukin 6 as inflammatory biomarker
Detailed description
patients with moderate head trauma (GCS 8-12) within first 24 hours were randomly divided into 2 groups, first group received 100,000 IU of vitamin D was given IM & the other group received dexmedetomidine 0.4 mic/kg as loading dose then 0.25 mic/kg/hr as maintainence dose for 5 days detecting APATCHE at admission and following up of vital signs (HR & NIBP) & investigations (CBC & RFT& ABG & ESR& CRP & IL-6) & GCS and GOS for 5 days.
Interventions
drug
drug
Sponsors
Study design
Eligibility
Inclusion criteria
* Both Gender. * Age (18-50) * GCS (8-12) * Pt with traumatic brain insult who not indicated surgical intervention
Exclusion criteria
* Prior severe disability. * Isolated brain system lesions. * History of underlying neurologic, metabolic or psychiatric disorders. * Alcohol or drug abuse. * Pregnancy. * Patients with intracranial hemorrhage who indicated surgical evacuation. * Multisystem life-threatening trauma. * GCS \> 12 & \<8. * Vitamin d deficiency.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The primary endpoint aims to measure the inflammatory markers level: | 5 days | 1- IL-6 in the unit of (pg/mL). |
| Primary outcome measure | 5 days | 2- ESR in the unit of(mm/hr). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary endpoints aim to compare ICU stay, morbidity and mortality in both groups: | 3 months | 1- ICU stay (no. Of days) |
| Secondary outcome measure | 3 month | 2- Glascow outcome scale (1-5) : that determine morbidity and mortality (units on scale from 1 to 5 with better scale towards 5 and worse towards 1) |
Countries
Egypt