Long-term Prognosis of Emergency Aneurysmal Subarachnoid Hemorrhage

NCT ID: NCT04785976

Last Updated: 2023-12-01

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

RECRUITING

Total Enrollment

5000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-04-01

Study Completion Date

2032-04-01

Brief Summary

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Rupture of intracranial aneurysms can lead to extensive subarachnoid hemorrhage (SAH), a potentially fatal neurological emergency with mortality rates ranging from 8 to 67%. At present, surgical clipping (SC) and endovascular coiling (EC) are two main treatments for aneurysmal subarachnoid hemorrhage (aSAH), in recent years, the improvements in surgical equipment and techniques have already greatly improved the postoperative safety of patients. However, considering individual differences between patients, some still at risk due to possible complications during hospitalization or after discharge from the hospital, it will no doubt generate a large healthcare burden.

This prospective, observational clinical trial (LongTEAM) is to improve the diagnosis and treatment effect and efficiency in this field, reducing mortality, medical costs, and medical burden, while opening up new avenues for interdisciplinary clinical practice and scientific research exploration.

Detailed Description

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Conditions

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Aneurysmal Subarachnoid Hemorrhage

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Surgical clipping

Surgical clipping and endovascular coiling

Intervention Type PROCEDURE

Surgical clipping: Apply aneurysm clip to clip the ruptured aneurysm. Endovascular coiling:Also called endovascular embolization, to block blood flow into an aneurysm.Preventing blood flow into an aneurysm helps to keep it from rupturing.

Endovascular coiling

Surgical clipping and endovascular coiling

Intervention Type PROCEDURE

Surgical clipping: Apply aneurysm clip to clip the ruptured aneurysm. Endovascular coiling:Also called endovascular embolization, to block blood flow into an aneurysm.Preventing blood flow into an aneurysm helps to keep it from rupturing.

Interventions

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Surgical clipping and endovascular coiling

Surgical clipping: Apply aneurysm clip to clip the ruptured aneurysm. Endovascular coiling:Also called endovascular embolization, to block blood flow into an aneurysm.Preventing blood flow into an aneurysm helps to keep it from rupturing.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients admitted to the emergency department of the investigator with aneurysmal subarachnoid hemorrhage are included in their prospective registry.

Exclusion Criteria

* None
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University International Hospital

OTHER

Sponsor Role collaborator

Beijing Tiantan Hospital

OTHER

Sponsor Role lead

Responsible Party

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yuanli Zhao

Director of Department of Cerebrovascular Neurosurgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fa Lin, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Yuanli Zhao, MD

Role: STUDY_CHAIR

Beijing Tiantan Hospital

Jizong Zhao, MD

Role: STUDY_CHAIR

Beijing Tiantan Hospital

Runting Li, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Xiaolin Chen, MD

Role: STUDY_DIRECTOR

Beijing Tiantan Hospital

Yu Chen, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Junlin Lu, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Zhipeng Li, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Heze Han, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Debin Yan, MD

Role: PRINCIPAL_INVESTIGATOR

Beijing Tiantan Hospital

Shuo Wang, MD

Role: STUDY_CHAIR

Beijing Tiantan Hospital

Locations

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Beijing Tiantan Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

The First People's Hospital of Neijiang

Neijiang, Sichuan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Runting Li, MD

Role: CONTACT

Phone: +8615753166690

Email: [email protected]

Xiaolin Chen, MD

Role: CONTACT

Phone: +8613810624845

Email: [email protected]

Facility Contacts

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Runting Li, MD

Role: primary

Xiaolin Chen, MD

Role: backup

Qian Wu, MD

Role: primary

References

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Tang X, Zhu B, Liu M, Lin F, Li R, Song W, Xue J, Zhou L, Chen X. Increased triglyceride-glucose index is associated with adverse functional outcome for patients with aneurysmal subarachnoid hemorrhage after surgical clipping and endovascular coiling: insights from a large cohort study. Front Neurol. 2025 Sep 10;16:1622819. doi: 10.3389/fneur.2025.1622819. eCollection 2025.

Reference Type DERIVED
PMID: 41001201 (View on PubMed)

Yang Y, Zhu B, Lin F, Li R, Chen X. Association between geriatric nutritional risk index and clinical outcome of elderly aneurysmal subarachnoid hemorrhage patients: insights from a large cohort study. Neurosurg Rev. 2025 Feb 4;48(1):169. doi: 10.1007/s10143-025-03209-6.

Reference Type DERIVED
PMID: 39903290 (View on PubMed)

Li R, Lin F, Chen Y, Lu J, Yang J, Han H, Yuan K, Wang K, Yan D, Li R, He S, Li Z, Zhang H, Chen X, Ma L, Zhao Y, Hao Q, Ye X, Wang H, Li H, Zhang L, Shi G, Zhou J, Li Y, Wang S, Chen X, Zhao Y. The effect of sex differences on complications and 90-day outcomes after aneurysmal subarachnoid hemorrhage: a propensity score-matched analysis. Neurosurg Rev. 2022 Oct;45(5):3339-3347. doi: 10.1007/s10143-022-01836-x. Epub 2022 Jul 23.

Reference Type DERIVED
PMID: 35870093 (View on PubMed)

Li R, Lin F, Chen Y, Lu J, Han H, Ma L, Zhao Y, Yan D, Li R, Yang J, He S, Li Z, Zhang H, Yuan K, Wang K, Hao Q, Ye X, Wang H, Li H, Zhang L, Shi G, Zhou J, Zhao Y, Zhang Y, Li Y, Wang S, Chen X, Zhao Y. A 90-Day Prognostic Model Based on the Early Brain Injury Indicators after Aneurysmal Subarachnoid Hemorrhage: the TAPS Score. Transl Stroke Res. 2023 Apr;14(2):200-210. doi: 10.1007/s12975-022-01033-4. Epub 2022 May 14.

Reference Type DERIVED
PMID: 35567655 (View on PubMed)

Li R, Lin F, Chen Y, Lu J, Han H, Ma L, Zhao Y, Yan D, Li R, Yang J, He S, Li Z, Zhang H, Yuan K, Wang K, Hao Q, Ye X, Wang H, Li H, Zhang L, Shi G, Zhou J, Zhao Y, Zhang Y, Li Y, Wang S, Chen X, Zhao Y. Elevated blood hemoglobin on admission as an independent predictor of unfavorable outcomes in patients with aneurysmal subarachnoid hemorrhage. Neurosurg Rev. 2022 Aug;45(4):2689-2699. doi: 10.1007/s10143-022-01780-w. Epub 2022 Apr 2.

Reference Type DERIVED
PMID: 35366711 (View on PubMed)

Yang J, Lu J, Li R, Lin F, Chen Y, Han H, Yan D, Li R, Li Z, Zhang H, Yuan K, Li H, Zhang L, Shi G, Zhou J, Wang S, Zhao Y, Chen X. Application of Intracranial Pressure-Directed Therapy on Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage. Front Aging Neurosci. 2022 Mar 14;14:831994. doi: 10.3389/fnagi.2022.831994. eCollection 2022.

Reference Type DERIVED
PMID: 35360218 (View on PubMed)

Lin F, Chen Y, He Q, Zeng C, Zhang C, Chen X, Zhao Y, Wang S, Zhao J. Prognostic Value of Elevated Cardiac Troponin I After Aneurysmal Subarachnoid Hemorrhage. Front Neurol. 2021 May 31;12:677961. doi: 10.3389/fneur.2021.677961. eCollection 2021.

Reference Type DERIVED
PMID: 34135855 (View on PubMed)

Other Identifiers

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KY 2020-11-26

Identifier Type: -

Identifier Source: org_study_id