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| Name | Class |
|---|---|
| Roche Diagnostics GmbH | INDUSTRY |
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Head trauma is a common injury in emergency department. Investigation to search for complication is guided by the clinical examination and the case history, such as taking anti-thrombotics. Cranial computed tomography (CCT) is the gold standard to investigate, and is mandatory in case of antithrombotic drugs.
Recently, some biomarkers have proven their utility to rule-out mild head trauma without CCT in the general population. Among these biomarkers, S100β protein has been added in guidelines for mild head trauma. Some studies have found similar data in population taking anticoagulant or antiplatelet drugs.
The investigators aim to prove medical utility of S100β protein in population under antithrombotics, by the reduction of CCT use. Then, The investigators hypothesize that the add of S100β protein reduces cost of health care in the management of head injury in that population.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dosage of S100β protein | Other | Dosage of S100β protein |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic performances are evaluated by AUC | Diagnostic performances of S100β protein in case of mild head trauma for detection of traumatic intracranial lesion in patients under antithrombotic medication compare to cranial computed tomography. | 1 day |
| Diagnostic performances are evaluated by sensibility, specificity | Diagnostic performances of S100β protein in case of mild head trauma for detection of traumatic intracranial lesion in patients under antithrombotic medication compare to cranial computed tomography. | 1 day |
| Diagnostic performances of S100β protein in case of mild head trauma for detection of traumatic intracranial lesion in patients under antithrombotic medication compare to cranial computed tomography. | Diagnostic performances are evaluated by positive and negative predictive values between the strategy with S100β protein compared to the strategy with systematic cranial computed tomography. | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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Patient taking antithrombotic medication with mild head trauma and trauma occured ≤ 6 hours
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| Name | Affiliation | Role |
|---|---|---|
| Cédric GANGLOFF, MD | Centre Hospitalier Univesitaire de Rennes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Universitaire de Rennes | Rennes | 35000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41444519 | Derived | Quilcaille X, Reuter PG, Duval M, Bajeux E, Peschanski N. Usefulness of S100beta protein in patients on antithrombotic drugs with mild traumatic brain injury: a prospective cohort study in an emergency department. Int J Emerg Med. 2025 Dec 24;19(1):29. doi: 10.1186/s12245-025-01085-x. |
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| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D020198 | Intracranial Hemorrhage, Traumatic |
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| D006259 |
| Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |