Prehospital and Acute Phase Characteristics of Severe Spontaneous ICH
Associations Between Prehospital Physiological Parameters and Functional Outcome in Severe Spontaneous Intracerebral Hemorrhage: a Retrospective Cohort Study
2 other identifiers
observational
678
1 country
1
Brief Summary
Spontaneous intracerebral hemorrhage (ICH) represents 10-15% of all strokes and is associated with high mortality and morbidity. Rapid identification and interventions, e.g. early implementation of care bundles, seem to be critical for improving outcome. Nonetheless, relatively little is known about the influence of acute physiological risk factors in the prehospital phase, although high prehospital blood pressure has been associated with worse outcome in mild to moderate ICH. Whether the same applies to severe ICH requiring neurointensive care is unclear and furthermore the prognostic impact of other physiological variables has received little attention. The aim of this study is to retrospectively investigate prehospital characteristics of severe ICH and whether physiological abnormalities are associated with functional outcome, mortality after six months, and early withdrawal of life sustaining treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2016
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2026
CompletedFirst Submitted
Initial submission to the registry
June 24, 2026
CompletedFirst Posted
Study publicly available on registry
July 31, 2026
CompletedJuly 31, 2026
July 1, 2026
9 years
June 24, 2026
July 27, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Functional status at 6 months
Modified Rankin Scale, mRS, (0-6 where lower scores mean a better outcome), with favourable outcomes defined as mRS of 0-3 and unfavourable 4-6
Time Frame: From ictus onset of symptoms or last seen well to six months
Mortality at 6 months
Percent
From ictus to six months
Early withdrawal of life sustaining treatment
Percent
First 24 hours from admission to primary hospital
Secondary Outcomes (2)
In hospital death
From hospital admission at day 1 until any death date coinciding with hospital discharge, assessed up to 36 months
Length of stay
From hospital admission at day 1 to hospital discharge or in-hospital death, assessed up to 36 months
Eligibility Criteria
The study included all patients admitted to the neurointensive care unit at Copenhagen University Hospital Rigshospitalet, ≥18 years with primary spontaneous ICH from November 1, 2016, to October 1, 2025. Patients initially admitted to peripheral hospitals, including non-stroke units, prior to transfer were also eligible for inclusion.
You may qualify if:
- Primary spontaneous ICH confirmed by CT imaging.
- Admission to the neurointensive care unit at Rigshospitalet within the study period.
- Available prehospital journal linked to the initial hospital admission.
You may not qualify if:
- Age below 18
- ICH secondary to trauma, vascular malformation, tumour, haemorrhagic transformation of ischaemic stroke, aneurysms, or central venous sinus thrombosis.
- Initial admission without confirmed ICH.
- Admissions from hospitals outside the Capital Region of Denmark or Region Zealand.
- Pure intraventricular hemorrhage without parenchymal involvement as determined by a radiologist.
- Intrahospital ICH.
- Iatrogenic ICH
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Kirsten Mollerlead
Study Sites (1)
Rigshospitalet
Copenhagen, 2100, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
June 24, 2026
First Posted
July 31, 2026
Study Start
November 1, 2016
Primary Completion
November 1, 2025
Study Completion
April 1, 2026
Last Updated
July 31, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share