Actively Recruiting
Predicting Acute Respiratory Distress Syndrome in Adults With Traumatic Brain Injury Using Fibrinogen-to-Albumin Ratio
Led by Tanta University · Updated on 2026-07-06
350
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Traumatic brain injury is a significant cause of illness and death worldwide, often leading to systemic inflammation and secondary organ problems in critically ill patients. Acute respiratory distress syndrome ARDS is a serious complication affecting 19-30% of severe traumatic brain injury patients, usually developing within the first week after injury. This study evaluates the fibrinogen-to-albumin ratio as a potential early predictor of ARDS in adults with traumatic brain injury. The study involves measuring fibrinogen and albumin levels from routine blood samples taken within 24 hours of ICU admission. The fibrinogen-to-albumin ratio FAR is calculated by dividing fibrinogen by albumin levels. Patients are categorized into groups based on whether they develop ARDS within 7 days according to Berlin criteria. The study does not involve administering treatments but focuses on diagnostic blood tests. Participants will be followed during their ICU stay, with researchers assessing the accuracy of early fibrinogen-to-albumin ratio measurements to predict ARDS development within 7 days. Secondary outcomes include ARDS incidence and severity, duration of mechanical ventilation, ICU stay length, mortality, and neurological outcomes up to 90 days after injury. Consent is obtained from authorized representatives, and follow-up is expected while participants remain hospitalized.
CONDITIONS
Brief Title
Fibrinogen-to-Albumin Ratio as a Predictor of Acute Respiratory Distress Syndrome in Traumatic Brain Injury
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients 18 years or older admitted to the ICU with traumatic brain injury
- Admission to the ICU within 24 hours of injury
- Patients expected to remain under hospital care for follow-up
- Availability of fibrinogen and albumin measurements within 24 hours of ICU admission
- Informed consent obtained from a legally authorized representative
You will not qualify if you...
- Advanced chronic liver disease, nephrotic syndrome, or protein-losing enteropathy
- Pre-existing acute respiratory distress syndrome on admission
- Receipt of albumin, fibrinogen concentrate, or cryoprecipitate before admission sampling
- Use of anticoagulant or fibrinolytic therapy before admission
- Active malignancy or severe systemic infection at admission
- Direct severe lung injury
- Pregnancy
- Refusal of consent
Research Team
E
Eman M Taher, MD
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