Prophylactic Anti-epileptic Regimen in Traumatic Brain Injury

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorAssiut University

About this trial

To evaluate the effectiveness and safety of anti-epileptic drugs in the prevention of early and late post-traumatic seizures among patients with trauma brain injury

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with a confirmed diagnosis of traumatic brain injury (clinical and/or radiological), including both surgical and conservative management

Admission within 24 hours of injury

Eligible for antiepileptic prophylaxis according to clinical guidelines

Written informed consent obtained.

Disqualifiers

Pre-existing epilepsy or seizure disorder.

Seizure episode before or during admission unrelated to acute TBI.

Prior use of antiepileptic drugs before admission.

Severe renal impairment (creatinine clearance <30 mL/min).

Trial population

Study Population: Patients with TBI admitted to the hospital and evaluated clinically and radiologically on admission. A complete assessment will include: * Medical history (age, gender). * Physical examination (temperature, blood pressure, heart rate, respiratory rate, chest auscultation) * Glasgow Coma Scale (GCS). * Laboratory tests (complete blood count, sodium, potassium, blood urea nitrogen, creatinine, hepatic profile). * Brain computed tomography (CT). * Clinical monitoring, including antiepileptic drug dosing, adverse events, and mortality during hospitalisation.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

  • Anti-Epileptic

    Drug

    The anti-epileptic drugs will take three months

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Group A1 intervention
Group B: Group B(control group)0 interventions

Trial outcomes

Primary outcomes

1

Incidence of seizure

Number of documented seizure episodes per participant, as recorded by clinical observation during the follow-up period (3 months).

Time frame
3 months

Secondary outcomes

1

Assess neurological outcomes

Assess the neurolgical outcomes by using the Glasgow Outcome Scale (GOS) at discharge

Time frame
during the 3 months
2

Assess in-hospital mortality rates

To evaluate in-hospital mortality rates in both groups.

Time frame
During hospitalization (assessed up to 7 days)]
3

Escalation of anti-epileptic therapy

Need for escalation of anti-epileptic therapy

Time frame
During the 3 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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