About this trial
This feasibility trial is the first step in testing the hypothesis that maintenance of normal body temperature, called therapeutic normothermia (TN), for 72 continuous hours in traumatic brain injury (TBI) patients can improve cognitive function. The trial aims to answer the following questions:
1. Is it feasible to conduct this study? Conducting the trial includes the ability to identify and enroll appropriate participants, implement TN, and collect the required data. 2. Can the Creyos Health platform cognitive assessment tool be used to assess and quantify cognitive outcomes in TBI patients?
Researchers will address the aforementioned questions by looking at the following factors:
1. Identification and enrollment rates of appropriate patients 2. Implementation of the intervention and appropriate data collection while admitted 3. Accurate follow up and continued data collection post-discharge 4. Accessibility and ease of use of the Creyos Health platform cognitive assessment tool
Participants will undergo the following procedure:
1. Admission to the Critical Care Trauma Centre through the trauma service 2. Allocation to the intervention or no intervention group 3. Implementation of the intervention or of usual care for a continuous 72 hours 4. Completion of the Creyos Health platform cognitive assessment tool at 3 and 6 months post-discharge from the Critical Care Trauma Centre
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients (>= 18 years of age) who present through the LHSC trauma service and have sustained a TBI.
A Glasgow Coma Scale (GCS) of 5-12, inclusive, prior to intubation.
Disqualifiers
GCS at time of presentation of 4 or less or 13 or more.
Patients not expected to survive 48 hours.
>24 hours from injury at time of enrollment.
Trial design
Parallel
Treatments tested in this trial
Therapeutic Normothermia Group
Other interventionMaintenance of a body temperature between 35 and 37 degrees Celsius using conservative and pharmacological interventions for 72 hours.
Treatment groups
Trial outcomes
Primary outcomes
Study Execution
To assess the feasibility of conducting a randomized controlled trial of therapeutic normothermia compared to no therapeutic normothermia in LHSC patients with TBI.
Creyos Health
To assess the feasibility of using the Creyos Health platform as a cognitive assessment tool in patients with TBI.
Secondary outcomes
Mortality
To assess any differences in in-hospital mortality between the two study groups.
Cognitive Outcomes
To assess any differences in cognitive outcomes between the two study groups.
Locations
Sponsors and contacts
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London Health Sciences Centre
Lead sponsor
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Collaborator
This trial is not recruiting at the moment. You can still explore other options: