Cerebral infarction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 years or older; diagnosis of ischemic stroke on admission; absence of bleeding on admission cranial tomography; National Institute of Health Stroke Scale equal or higher than 5 on admission; possibility of administering treatment within 24 hours from the onset of symptoms
Exclusion criteria
Exclusion criteria: Previous moderate functional disability (modified Rankin Scale equal or higher than 3); indication of thrombolytic therapy (chemical, mechanical); inability to tolerate or accept study procedures; co-occurrence of other serious clinical emergencies/urgencies on admission (e.g., cardiopulmonary arrest, acute respiratory failure, septic shock, status epilepticus, signs of intracranial hypertension); National Institute of Health Stroke Scale equal or higher than 20 on admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| We aim to check for changes in parameters (vital signs, physical examination, hematologic tests, routine urine, general biochemistry, lipid profile, electrocardiogram). The severity of adverse events will be graded according to the National Institute of Cancer Common Terminology Criteria for Adverse Events (NCI CTCAE) | — |
Secondary
| Measure | Time frame |
|---|---|
| We aim to check for change in cerebral infarct volume on cranial tomography (D0 to D5, and from D5 to D90), National Institute of Health Stroke Scale (D0 to D5, and from D5 to D90), modified Rankin Scale (D5 to D90), occurrence of depressive symptoms on D90, change in the metabolomic profile of plasma/serum and urine (D0 to D5), and occurrence of serious clinical events (symptomatic hemorrhagic transformation, cerebral edema with midline shift, death) between D0 and D90 | — |
Countries
Brazil
Contacts
Instituto de Ciências da Saúde da Universidade Federal do Pará