Outcomes of Traumatic Intracranial Hemorrhage in the Elderly

Traumatic Intracranial Hemorrhage in the Elderly: Prognostic Factors and Outcomes

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07822724

Enrollment

Registered

2026-09-16

Start date

2026-10-01

Completion date

2027-11-01

Last updated

2026-09-16

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

Conditions

Epidural Hematoma, Subdural Hematoma, Traumatic Brain Injury

Keywords

Traumatic Intracranial Hemorrhage, Geriatric, Elderly, Head Trauma, Traumatic Brain Injury, Prognostic Factors

Brief summary

This observational study aims to describe the clinical and radiological characteristics of older adults (aged 65 years and older) who experience traumatic bleeding in the brain, also known as traumatic intracranial hemorrhage. In older patients, even minor head injuries like a simple ground-level fall can lead to significant brain bleeding due to age-related changes, frailty, and the frequent use of blood-thinning medications. The researchers will prospectively monitor geriatric patients admitted to the hospital with a traumatic brain bleed confirmed by a CT scan who are being treated conservatively (without surgery). During the hospital stay, the research team will collect data on the patients' pre-injury health status, current clinical condition, and specific findings on their brain scans. The main goal of the study is to assess the patients' functional recovery and survival by the time they are discharged from the hospital. By observing these cases, the study seeks to identify which specific clinical signs and radiological factors help predict poor or favorable outcomes, ultimately aiming to improve the management and care of older adults with head trauma.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

65 Years to No maximum

Inclusion criteria

* Age 65 years or older. * History of blunt or traumatic head injury. * CT-confirmed intracranial hemorrhage. * Conservatively managed patients. * Availability of clinical and radiological data. * Consecutive eligible patients during the defined study period.

Exclusion criteria

* Non-traumatic intracranial hemorrhage. * Age less than 65 years. * Incomplete medical records. * Patients with major pre-existing intracranial pathology that prevents proper analysis. * Penetrating brain injury. * Surgically managed patients.

Design outcomes

Primary

Measure	Time frame	Description
Functional outcome assessed by the Glasgow Outcome Scale-Extended (GOSE)	Baseline	Functional outcome will be evaluated using the Glasgow Outcome Scale-Extended (GOSE). The GOSE scale ranges from 1 to 8, where higher scores indicate a better functional outcome. The results are subsequently categorized to define an unfavorable outcome as a GOSE score of 1-4, and a favorable outcome as a GOSE score of 5-8.

Outcome results