Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
At the emergencies rooms, patients with head trauma meeting one of the NICE criteria, which include antiplatelet inhibitors treatment, are considered as patients with a risk of cerebral haemorrage and are taken systematically for a CT-scanner.
However, there are more and more antiplatelet inhibitor's patient with minor head injury traumas seen at the emergencies room and the efficiency of this NICE criteria is controversial on litterature.
This study aims to determine that the absence of no other NICE criteria than antiplatelet inhibitors is a sufficient condition to eliminate a cerebral haemorrhage for patients with head injury traumas, and conversely, that antiplatelet inhibitors treatment would not be by itself an indication for a CT-scanner.
Head injuries are a frequent reason for emergency services, and according to studies, they represent between 5% and 10% of patients treated in emergencies. Among them, 90% are minor head injury traumas. NICE criteria has been defined to establish patients who need a CT-scanner because of a risk of cerebral haemorrhage.
NICE criteria include several conditions including taking antiplatelet inhibitors. However, the real risk of cerebral haemorrhage for theses cases is controversial in litterature. In parallel, more and more patients undergoing antiplatelet inhibitor's treatment are seen in emergencies after a head injury trauma.
In routine protocol at the emergency rooms, these patients are seen for a clinical exam and next submitted to a CT-scanner. If the clinician can't detect a cerebral haemorrage, the patient will return at home.
This study aims to determine that the absence of no other NICE criteria than antiplatelet inhibitors treatment is a sufficient condition to eliminate a cerebral haemorrhage for patients with head injury traumas, and conversely, that antiplatelet inhibitors treatment would not be by itself an indication for a CT-scanner.
This is a diagnostic, case-only, prospective, multicenter study with a blinded primary outcome measure assessment.
As described in routine protocol, in this study antiplatelet inhibitor's patients with head injury trauma will be seen for a clinical exam and next submitted to a CT-scanner. After a month, patient will be called by the clinical center to ask about morbidity and mortality. Especially, clinicans will report on the emergence of a cerebral haemorrhage during this month.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient with minor head injury trauma | The emergency protocol for antiplatelet inhibitors treated patient with head injury trauma and meeting others NICE criteria involves a clinical exam followed by a CT-scanner. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CT-scanner | Radiation | After a clinical exam, patient have a CT-scanner to check any cerebral haemorrhage. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Existence of a cerebral haemorrhage at the CT-scanner. | Cerebral haemorrhage seen at the CT-scanner. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Neurosurgeries' rate after one month | Neurosurgeries' rate after one month | 1 month |
| Existence of a cerebral haemorrhage associated to death | Existence of a cerebral haemorrhage associated to death |
Not provided
Inclusion Criteria:
Exclusion Criteria :
Not provided
Not provided
Not provided
Major patients undergoing antiplatelet inhibitors treatment which are reported at the clinical exam as having a head injury trauma.
These patients don't meet another NICE criteria :
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Paul-Georges REUTER, Pr | Contact | +33 2 99 28 43 21 | paul-georges.reuter@chu-rennes.fr | |
| Marie-Laure GERVAIS | Contact | 0299284312 | marie-laure.gervais@chu-rennes.fr |
| Name | Affiliation | Role |
|---|---|---|
| Paul-Georges REUTER, Pr | Rennes University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU d'Angers | Recruiting | Angers | France |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 1 month |
| Existence of a cerebral haemorrhage associated to neurosurgery | Existence of a cerebral haemorrhage associated to neurosurgery | 1 month |
| Existence of a cerebral haemorrhage associated to hospitalization with more than 24h of intubation | Existence of a cerebral haemorrhage associated to hospitalization with more than 24h of intubation | 1 month |
| Existence of a cerebral haemorrhage associated to more than 2 nights at hospital | Existence of a cerebral haemorrhage associated to more than 2 nights at hospital | 1 month |
| Death rate after one month | Death rate after one month | 1 month |
| CHU Brest | Recruiting | Brest | France |
|
| CH Chartres | Recruiting | Chartres | France |
|
| CH Le Mans | Recruiting | Le Mans | France |
|
| CH Bretagne Sud, Lorient | Recruiting | Lorient | France |
|
| CHU de Nantes | Recruiting | Nantes | France |
|
| CHU de Poitiers | Recruiting | Poitiers | France |
|
| CH Bretagne Sud - Quimperlé | Recruiting | Quimperlé | France |
|
| CHU de Rennes | Recruiting | Rennes | 35033 | France |
|
| CH de Saint Brieuc | Not yet recruiting | Saint-Brieuc | France |
|
| CH de Saint Malo | Recruiting | St-Malo | France |
|
| CH Bretagne Atlantique | Not yet recruiting | Vannes | France |
|
| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D015898 | Tomography Scanners, X-Ray Computed |
| ID | Term |
|---|---|
| D004864 | Equipment and Supplies |
Not provided
Not provided