CREACTIVE - Collaborative REsearch on ACute Traumatic Brain Injury in intensiVe Care Medicine in Europe

NCT ID: NCT02004080

Last Updated: 2022-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

8000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-10-31

Study Completion Date

2019-03-31

Brief Summary

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CREACTIVE is a large-scale observational cohort study concerning Traumatic Brain Injury (TBI) care in the ICU setting

Detailed Description

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Traumatic brain injury (TBI) is among the leading causes of death and disability and the main cause of death among the under-45s. Most patients with moderate to severe TBI are admitted to intensive care units (ICUs).

The 'PROmoting patient SAFEty and quality improvement in critical care' ICU network was recently established in 6 European countries through European Union funding (PHEA 2007331), and has continued to collect high-quality data beyond the grant duration. In 2012, 242 ICUs had joined 'PROmoting patient SAFEty and quality improvement in critical care', recruiting a total of 85,965 patients. Of these ICUs, 180 admitted at least one TBI patient, totaling more than 3,300 cases. Hence, the network is expected to enroll 7-9,000 moderate-to-severe TBI patients in 4 years, in about 125 participating ICUs. The 'PROmoting patient SAFEty and quality improvement in critical care' consortium has already focused attention on TBI and has just started collecting additional information on this condition in order to develop a prognostic model to identify centers of excellence in TBI management. Aims of the CREACTIVE project are to consolidate the existing network in order to better describe the epidemiology of moderate-to-severe TBI in 7 countries (Cyprus, Greece, Hungary, Israel, Italy, Poland, Slovenia); establish centralized repositories of biological samples (blood and derived fluids, CSF) and clinical imaging data, to be exploit for prognostic purposes; build a prognostic model based on clinical and biological data to predict short- and long-term outcome; identify most effective clinical interventions for optimally treating TBI patients; recognize the determinants of optimal vs. suboptimal performance.

All patients admitted to the participating ICUs with a diagnosis of traumatic brain injury, regardless of their severity, will be recruited. Centralized repositories of imaging data and biological samples for the analysis of phenotypic and genotypic biomarkers will be established for approx. 2,000 adult TBI patients.

Follow-up will be performed six months after the trauma event, and will be two-tiered. The first level will be administered over the phone and constituted of the extended version of the Glasgow Outcome Scale (GOSe) and a health-related quality of care questionnaire. The second level will encompass a patient's full examination that, for children, will include a dedicated sleep disturbances study. The second level follow-up will be performed in a selected subgroup of ICUs.

Conditions

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Brain Injuries, Traumatic

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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TBI admitted to ICU

Intensive Care treatment

Intensive Care treatment

Intervention Type OTHER

intensive care treatment

Interventions

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Intensive Care treatment

intensive care treatment

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

All patients admitted to the participating ICUs with a diagnosis of traumatic brain injury, regardless of their severity,will be recruited.

Exclusion Criteria

Absence of Informed consent
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Commission

OTHER

Sponsor Role collaborator

Semmelweis University

OTHER

Sponsor Role collaborator

Medical University of Warsaw

OTHER

Sponsor Role collaborator

General Hospital of Novo mesto

OTHER

Sponsor Role collaborator

Univerzitetni Klinikni Center Ljubljana

UNKNOWN

Sponsor Role collaborator

University of Nicosia

OTHER

Sponsor Role collaborator

Ben-Gurion University of the Negev

OTHER

Sponsor Role collaborator

University of Crete Medical School - University Hospital of Heraklion

UNKNOWN

Sponsor Role collaborator

Orobix Srl

UNKNOWN

Sponsor Role collaborator

Gruppo Italiano per la Valutazione degli Interventi in Terapia Intensiva

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guido Bertolini, MD

Role: PRINCIPAL_INVESTIGATOR

Istituto Di Ricerche Farmacologiche Mario Negri

Locations

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Ospedale Regionale della Valle d'Aosta

Aosta, Aosta Valley, Italy

Site Status

A.O. Universitaria Policlinico "Riuniti"

Foggia, Apulia, Italy

Site Status

Ospedale Santa Maria di Loreto

Napoli, Campania, Italy

Site Status

Ospedale Maggiore

Bologna, Emilia Romagan, Italy

Site Status

AUSL della Romagna, Ospedale Bufalini

Cesena, Emilia-Romagna, Italy

Site Status

Ospedale San Camillo Forlanini

Rome, Lazio, Italy

Site Status

Presidio Ospedliero di Cremon

Cremona, Lombardy, Italy

Site Status

Niguarda Cà Granda

Milan, Lombardy, Italy

Site Status

Ospedale A. Manzoni

Lecco, Lombradia, Italy

Site Status

SS. Antonio e Biagio e C. Arrigo

Alessandria, Piedmont, Italy

Site Status

Ospedale Edoardo Agnelli

Pinerolo, Piedmont, Italy

Site Status

CTO Maria Adelaide

Turin, Piedmont, Italy

Site Status

Ospedale Giovanni Paolo II

Olbia, Sardinia, Italy

Site Status

AO Villa Sofia - Cervello

Palermo, Sicily, Italy

Site Status

Ospedale San Salvatore

Pesaro, The Marches, Italy

Site Status

Ospedale del Mugello

Borgo San Lorenzo, Tuscany, Italy

Site Status

AO Universitaria Careggi

Florence, Tuscany, Italy

Site Status

Ospedale di S. Chiara

Pisa, Tuscany, Italy

Site Status

Ospedale di Santa Chiara

Pisa, Tuscany, Italy

Site Status

Ospedale Santa Maria della Misericordia

Perugia, Umbria, Italy

Site Status

Countries

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Italy

Related Links

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Other Identifiers

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602714

Identifier Type: -

Identifier Source: org_study_id

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