Is There a Worse Outcome When the Systolic Blood Pressure is Lower Than Heart Rate in Those Adult Trauma Patients With Isolated Head/Neck Injury

NCT03698214 | Completed

• 1 other identifier: CGRPG8F0011
• Study Type: observational
• Target: 1,216
• Locations: 0 countries
• Sites: N/A

Brief Summary

A systolic blood pressure (SBP) lower than the heart rate (HR) could indicate a poor condition in trauma patients. In such scenarios, the reversed shock index (RSI) is \<1, as calculated by the SBP divided by the HR. This study aimed to clarify whether RSI could be used to identify high-risk adult patients with isolated traumatic brain injury (TBI).

Conditions

Traumatic Brain Injury

Keywords

systolic blood pressure; reversed shock index; traumatic brain injury; mortality

Outcome Measures

Primary Outcomes (1)

• in-hospital mortality

  To measure the outcome of patients.

  up to 5 months

Study Arms (1)

isolated traumatic brain injury

Adult patients having isolated traumatic brain injury with a head abbreviated injury scale (AIS) ≥ 3 and without severe injury to other regions (other AIS ≤ 1) were included. The patients were grouped and analyzed according to reversed shock index \< 1 or reversed shock index ≥ 1.

Other: reversed shock index < 1; Other: reversed shock index ≥ 1

Interventions

reversed shock index ≥ 1 OTHER

Among patients with isolated TBI, those with an RSI ≥ 1 had lower mortality

isolated traumatic brain injury

Eligibility Criteria

• Age: 20 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adult patients having isolated TBI with a head abbreviated injury scale (AIS) ≥ 3 and without severe injury to other regions (other AIS ≤ 1) were included. We excluded patients younger than 18 or older than 65 years of age. Patients were grouped and analyzed according to RSI (\< 1 or ≥ 1).

You may qualify if:

• Adult patients having isolated TBI with a head abbreviated injury scale (AIS) ≥ 3 and without severe injury to other regions (other AIS ≤ 1) were included

You may not qualify if:

• Patients with incomplete registered data were also excluded

Sponsors & Collaborators

• Chang Gung Memorial Hospital: lead

MeSH Terms

Conditions

Brain Injuries, Traumatic

Condition Hierarchy (Ancestors)

Brain Injuries; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 2, 2018
• First Posted: October 5, 2018
• Study Start: March 23, 2016
• Primary Completion: January 23, 2017
• Study Completion: February 22, 2017
• Last Updated: October 5, 2018

Record last verified: 2016-03

Data Sharing

• IPD Sharing: Will not share