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| Name | Class |
|---|---|
| United States Department of Defense | FED |
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The study is designed to determine whether hemorrhage within the injured spinal cord is influenced by mean arterial pressure (MAP) augmentation with vasopressors and by venous thromboembolism (VTE) prophylaxis with anticoagulants in the first two weeks following a traumatic spinal cord injury (tSCI).
This will be a single-center prospective observational study of patients with an acute cervical traumatic spinal cord injury
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 | Experimental | Serial MRI scans of patients with acute cervical SCI to quantify hemorrhage. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Magnetic resonance imaging (MRI) | Procedure | Serial MRI scans of patients with acute cervical SCI to quantify hemorrhage. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hemorrhage Quantification 1 | Area of hematoma | Serial MRI assessments: Injury to 2 weeks post injury |
| Hemorrhage Quantification 2 | Vertical length of hematoma and vertical length of cord edema | Serial MRI assessments: Injury to 2 weeks post injury |
| Hemorrhage Quantification 3 | The point of maximum cord compression vertebral level and anatomic point of maximum cord compression vertebral sublevel | Serial MRI assessments: Injury to 2 weeks post injury |
| Hemorrhage Quantification 4 | Vertical length of cord edema rostral to maximum compression and vertical length of cord edema caudal to maximum compression. | Serial MRI assessments: Injury to 2 weeks post injury |
| Measure | Description | Time Frame |
|---|---|---|
| Hemodynamic Management Assessment 1 | achieved mean arterial pressure | Injury to 2 weeks post injury |
| Hemodynamic Management Assessment 2 | vasopressor usage/dose |
| Measure | Description | Time Frame |
|---|---|---|
| Neurologic Assessments | International Standards for Neurological Classification of SCI (ISNCSCI) | Injury to 6 months post injury |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Allan Aludino | Contact | 604-875-4111 | 61689 | allan.aludino@vch.ca |
| Name | Affiliation | Role |
|---|---|---|
| Brian Kwon, MD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vancouver General Hospital | Recruiting | Vancouver | British Columbia | Canada |
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| ID | Term |
|---|---|
| D009682 | Magnetic Resonance Spectroscopy |
| ID | Term |
|---|---|
| D013057 | Spectrum Analysis |
| D002623 | Chemistry Techniques, Analytical |
| D008919 | Investigative Techniques |
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| Injury to 2 weeks post injury |