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Efficacy and safety of Traditional Chinese Medicine (Wendan decoction) combined with conventional neurologic intensive care in patients with acute moderated to severe brain injury in early stage - A randomized controlled study.
This study adopted a prospective, randomized controlled design. All eligible patients included in the study agreed to participated and signed the informed consent from and the study procedures were approved by the ethical committee of Taichung Tzu Chi general hospital (REC103-26). Patients were recruited from the neurosurgery department of Taichung Tzu Chi general hospital between June 2014 and July 2015. A total of 60 patients were enrolled in this study and randomized into intervention group and control group. All patients of both groups were enrolled within 14 days after episode and a follow-up interview until 6 months from the onset. The intervention group mean regular neuro-intensive care combined TCM and the intervention group mean only neuro-intensive care. But there are 7 patients in intervention group and 12 patients in control group quit out this study
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| neurologic intensive care in acute brain injury | Experimental | With the guidance of Taiwan Neurosurgical Society and Taiwan Neurological Society, patients in the control group were given the consistent treatment. (http://www.neurosurgery.org.tw/nsr/tbi/main.htm and http://www.stroke.org.tw/guideline/guideline\_1.asp). The intensive treatments were established according to the traumatic brain injury treatment guidelines and spontaneously intracerebral hemorrhage general treatment principles from these two society in Taiwan. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Wendan decoction combination in acute brain injury | Drug | In the intervention group, traditional Chinese medicine was given between 14 days of onset and TCM was used 1 month at least in intervention group. |
| Measure | Description | Time Frame |
|---|---|---|
| Ventilator use | how many days of ventilator use | 1 month |
| ICU stay | how many days of ICU stay | 1 month |
| Glasgow coma scale | from 3 to 15 , higher value indicate better outcome | 1 month |
| Disability rating scale | from 0 to 29 , higher value mean worse outcome | 1 month |
| modified Rankin scale | from 0 to 6 , 0 mean normal and 6 mean dead , higher value indicated worse outcome | 1 month |
| mortality | between 1 month mortality | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Glasgow coma scale | from 3 to 15 , higher value indicate better outcome | 6 month |
| modified Rankin scale | from 0 to 6 , 0 mean normal and 6 mean dead , higher value indicated worse outcome |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
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randomized clinical trial
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no masking design
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| 6 month |
| Disability rating scale | from 0 to 29 , higher value mean worse outcome | 6 month |
| Barthel index | from 0 to 100 , higher value mean independency daily life care and better outcome | 6 months |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |