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 volunteersQualifiers
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
Case-control
Prospective
Treatments tested in this trial
Anti-Epileptic
DrugThe anti-epileptic drugs will take three months
Treatment groups
Trial outcomes
Primary outcomes
Incidence of seizure
Number of documented seizure episodes per participant, as recorded by clinical observation during the follow-up period (3 months).
Secondary outcomes
Assess neurological outcomes
Assess the neurolgical outcomes by using the Glasgow Outcome Scale (GOS) at discharge
Assess in-hospital mortality rates
To evaluate in-hospital mortality rates in both groups.
Escalation of anti-epileptic therapy
Need for escalation of anti-epileptic therapy
Locations
Sponsors and contacts
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