Effect of the Postoperative Trendelenburg Position on Chronic Subdural Hematoma Recurrence
Recruiting now · Not applicable
Conditions studied: Chronic Subdural Hematoma, Trendelenburg, Recurrence, Mortality, Prognosis, Clinical Trials
In brief
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).
Key facts
- Study ID
- NCT06911736
- Run by
- Universidad de Antioquia
- People needed
- 254
- Starts
- 2024-06-01
- Expected to finish
- 2027-04-30
- Last updated by the study team
- 2025-04-22
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- The study included patients aged 18 years or older who required surgical management of symptomatic CSH confirmed by CT scan and whose informed consent was given by the patient or responsible family member to participate in the study
You may not qualify if…
- Pregnant or breastfeeding
- Conditions in which the trendelenburg position might not be safe, such as intracranial hypertension without a drain to allow evacuation of the hematoma, cardiovascular instability (severe heart failure, unstable angina, cardiogenic pulmonary edema), acute respiratory distress syndrome without a secure airway, glaucoma, spinal cord trauma not stabilized with surgery, peripheral vascular disease,
- History of ipsilateral chronic subdural hematoma drainage, intracranial hypotension syndrome, ventriculoperitoneal shunting
- Simultaneous participation in any other clinical trial.
Where it is running
- Clinica CES — Medellín, Antioquia, Colombia (enrolling)
- Hospital San Vicente Fundación — Medellín, Antioquia, Colombia (enrolling)
- Instituto Neurologico de Colombia — Medellín, Antioquia, Colombia (enrolling)
Full record on ClinicalTrials.gov
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