Clinical Trial: Head Injury Retrieval Trial

Study Status: Terminated
Recruit Status: Terminated
Study Type: Interventional

Official Title: Randomised, Controlled Trial of Physician Prehospital Management of Severe Blunt Head Injury

Brief Summary: The study hypothesis is that advanced interventions as provided by a physician at an accident scene will decrease the death rate and the rate of severe disability in survivors of severe head injury. Extended interventions by advanced level prehospital providers may include rapid sequence intubation (RSI) airway management, blood transfusions, surgical procedures, etc.

Detailed Summary: A randomised, controlled trial examining prehospital management of persons with severe blunt head injury, in the Sydney region. Treatments examined will be the current system consisting principally of paramedic management (standard care) compared with management by a retrieval team lead by a consultant anaesthetist, emergency physician or intensive care specialist. Patients for inclusion in the study will be identified by a paramedic screening all "000" calls to the ambulance service and identifying persons likely to have severe head injury. The principal outcome measure will be their degree of disability measured at 6 months post injury.
Sponsor: CareFlight

Current Primary Outcome: Glasgow Outcome Scale Score [ Time Frame: Six months post injury ]

Original Primary Outcome: Glasgow Outcome Scale Score at 6 months post injury

Current Secondary Outcome:

  • Length of hospital and intensive care unit stays [ Time Frame: At hospital discharge ]
  • 30 day survival and survival to discharge from the acute care hospital [ Time Frame: At hospital discharge and 30 days ]
  • Extended Glasgow Outcome Scale Score [ Time Frame: Six months post injury ]
  • Disability Rating scale [ Time Frame: Six months post injury ]


Original Secondary Outcome:

  • Length of hospital and intensive care unit stays
  • 30 day survival and survival to discharge from the acute care hospital


Information By: CareFlight

Dates:
Date Received: June 2, 2005
Date Started: May 2005
Date Completion:
Last Updated: March 10, 2013
Last Verified: March 2013