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This observational study is designed to research the effect of mannitol volume administration with changes in osmolarity in patients with traumatic brain injury to guide the safe use of mannitol in these patients.
This prospective observational cohort study included 64 non-operative TBI patients admitted to Dr. Kariadi Central General Hospital, Semarang, Indonesia, between November 2023 and January 2024. Patients received one of three routine clinical regimens: 3×0.25 g/kg, 2×0.5 g/kg, or 3×0.5 g/kg body weight. Mannitol was administered intravenously over 15-20 minutes per dose. Plasma osmolarity was measured at baseline and at 6 and 24 hours following initial administration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mannitol 1 | Active Comparator | 3×0.25 g/kg |
|
| Mannitol 2 | Active Comparator | 2×0.5 g/kg |
|
| Mannitol 3 | Active Comparator | 3×0.5 g/kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mannitol | Drug | mannitol administration across all three dosages given as an IV drip for 15-20 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Osmolarity | Blood osmolarity (mOsm/L) | At baseline (before administration) and subsequently at 6 hours and 24 hours post-administration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aria P Hayanto, Sp.An-TI | Universitas Diponegoro | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. Kariadi Central General Hospital | Semarang | Central Java | Indonesia |
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| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
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| ID | Term |
|---|---|
| D008353 | Mannitol |
| ID | Term |
|---|---|
| D013402 | Sugar Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D002241 | Carbohydrates |
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|
| D020196 | Trauma, Nervous System |