Actively Recruiting
Effect of the Postoperative Trendelenburg Position on Chronic Subdural Hematoma Recurrence
Led by Universidad de Antioquia · Updated on 2025-04-22
254
Participants Needed
3
Research Sites
151 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Objective: Determine the effect of the postoperative trendelenburg position on the recurrence of chronic subdural hematoma (CSH) in patients undergoing surgery. Materials and Methods: An open-label, randomized, controlled clinical trial was conducted in three hospitals in Medellín. Patients with CSH were enrolled and assigned to the trendelenburg position (30° leg elevation and 10° head tilt) or a flat bed for 24 hours postoperatively. CSH recurrence was measured at 3 months, along with functional outcome (modified Rankin scale), adverse events, and comfort (Likert scale).
CONDITIONS
Official Title
Effect of the Postoperative Trendelenburg Position on Chronic Subdural Hematoma Recurrence
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients aged 18 years or older
- Symptomatic chronic subdural hematoma confirmed by CT scan
- Requires surgical management
- Provided informed consent or consent given by a responsible family member
You will not qualify if you...
- Pregnant or breastfeeding
- Conditions where Trendelenburg position is unsafe, including intracranial hypertension without a drain, cardiovascular instability (severe heart failure, unstable angina, cardiogenic pulmonary edema), acute respiratory distress syndrome without secure airway, glaucoma, unstable spinal cord trauma, peripheral vascular disease
- History of ipsilateral chronic subdural hematoma drainage
- Intracranial hypotension syndrome
- Ventriculoperitoneal shunting
- Participation in another clinical trial
AI-Screening
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Trial Site Locations
Total: 3 locations
1
Clinica CES
Medellín, Antioquia, Colombia, 050001
Actively Recruiting
2
Hospital San Vicente Fundación
Medellín, Antioquia, Colombia, 050001
Actively Recruiting
3
Instituto Neurologico de Colombia
Medellín, Antioquia, Colombia, 050001
Actively Recruiting
Research Team
J
Jorge H Montenegro, Neurosurgery resident
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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