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CompletedNCT01077089Updated Feb 25, 2013

Effects of Transport on Patients With Traumatic Brain Injury

An observational study in Traumatic Brain Injury, sponsored by University of Cincinnati. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-02-25.

Sponsored by University of Cincinnati · Observational

Study type
Observational
Model
Ecologic or community
Time perspective
Prospective
Enrollment
14
Ages
18 Years and older
Sex
All
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Study summary

Hospitalized patients are often moved from their rooms to other hospital locations, particularly imaging facilities. For patients with traumatic brain injury, such movements may raise the risk of secondary brain injuries. The purpose of this study is to monitor brain injured patients during transport and to measure the resulting changes in intracranial pressure. This will allow for documentation of the frequency of secondary injury and help in understanding their causes.

Read the detailed description

Secondary insults, such as hypoxia and hypotension, may worsen a brain injury. We hypothesize that secondary brain insults may occur frequently during in-hospital transport in patients with traumatic brain injury (TBI). We additionally hypothesize that automated data collection devices used during transport could more reliably document the frequency of these events and help us to understand the causes. During transport of patients with TBI, intracranial pressure and arterial blood pressure will be continuously recorded to a monitor and saved for later analysis. Additional continuous measurements of pulse oximetry, end-tidal carbon dioxide, and mechanical ventilation settings will be made. The study will identify patients at risk for secondary insults, the etiology of these insults, and assist in development of a road map to prevent future incidents.

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Conditions studied

  • Traumatic Brain Injury

Keywords

  • traumatic brain injury
  • In-hospital transport
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In context

Brain Injuries

2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.

This study's enrollment of 14 is below the median of 100 across 690 observational studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

University of Cincinnati is the lead sponsor of 314 studies on the registry; 43 are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 15 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with traumatic brain injury

Inclusion criteria

  • presence of traumatic brain injury and intracranial pressure monitoring
  • requiring mechanical ventilation
  • presence of an indwelling arterial catheter for monitoring blood pressure
  • Age of at least 18 years

Exclusion criteria

Exclusion Criteria:

  • Age less than 18 years
  • diagnosis of brain death
  • non-English speakers
  • prisoners
  • mentally ill persons
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Study design

Observational model
Ecologic or community
Time perspective
Prospective
Enrollment
14 participants (actual)

Groups and cohorts

  • Transported TBI patients

    Traumatically brain injured patients undergoing in-hospital transport.

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What researchers measure

Primary outcomes

  1. Incidence of adverse events during transport.

    Time frame: Each transport event

Secondary outcomes

  1. Incidence of elevated heart rate during transport.

    Time frame: Each transport event

  2. Incidence of transport events during which SpO2 remains below 90% for 1 minute or longer

    Time frame: Each transport event

  3. Transport events during which systolic blood pressure remains below 90 mmHg for 5 minutes or longer

    Time frame: Each transport event

  4. Transport events during which mean arterial blood pressure remains below 60 mmHg for 5 minutes or longer

    Time frame: Each transport event

  5. Transport events during which intracranial pressure exceeds 20 mmHg for 5 minutes or longer

    Time frame: Each transport event

  6. Transport events during which cerebral perfusion pressure remains below 70 mmHg for 5 minutes or longer

    Time frame: Each transport event

  7. Number of instances of physiological change that require caregiver intervention, such as ventilator manipulation or drug therapy

    Time frame: Each transport event

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Study locations

1 site
  • University Hospital
    Cincinnati, Ohio 45267, United States
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References and documents

Publications

  • Chesnut RM, Marshall LF, Klauber MR, Blunt BA, Baldwin N, Eisenberg HM, Jane JA, Marmarou A, Foulkes MA. The role of secondary brain injury in determining outcome from severe head injury. J Trauma. 1993 Feb;34(2):216-22. doi: 10.1097/00005373-199302000-00006. PubMed 8459458 ↗
  • Chesnut RM, Marshall SB, Piek J, Blunt BA, Klauber MR, Marshall LF. Early and late systemic hypotension as a frequent and fundamental source of cerebral ischemia following severe brain injury in the Traumatic Coma Data Bank. Acta Neurochir Suppl (Wien). 1993;59:121-5. doi: 10.1007/978-3-7091-9302-0_21. PubMed 8310858 ↗
  • Jeremitsky E, Omert L, Dunham CM, Protetch J, Rodriguez A. Harbingers of poor outcome the day after severe brain injury: hypothermia, hypoxia, and hypoperfusion. J Trauma. 2003 Feb;54(2):312-9. doi: 10.1097/01.TA.0000037876.37236.D6. PubMed 12579057 ↗
  • Manley G, Knudson MM, Morabito D, Damron S, Erickson V, Pitts L. Hypotension, hypoxia, and head injury: frequency, duration, and consequences. Arch Surg. 2001 Oct;136(10):1118-23. doi: 10.1001/archsurg.136.10.1118. PubMed 11585502 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 25, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01077089
Lead sponsor
University of Cincinnati
Collaborators
United States Department of Defense
Responsible party
Rich Branson, M.D. (Professor of Clinical-Geo, University of Cincinnati) — Principal investigator
First posted
Feb 26, 2010
Start date
Feb 2010
Primary completion
Oct 2012
Completion
Oct 2012
Last update
Feb 25, 2013

Study contacts

Warren A Dorlac, MD
principal investigator · University of Cincinnati

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2013. You cannot join it, but the record below documents what was studied.

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