ClinicalTrials.gg
RecruitingNCT05599217DISHUpdated Apr 22, 2024

Association Between Dietary Factors and Chronic Subdural Hematoma (DISH)

An observational study in Chronic Subdural Hematoma, sponsored by Beijing Tiantan Hospital. Recruiting at 4 sites in China. Open to participants aged 18 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-22.

Sponsored by Beijing Tiantan Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 10 months ago, but the record still lists the study as recruiting.
  • Started Mar 2023; still recruiting 3 years 7 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
420
Ages
18 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 17 studies in Hematoma, Subdural, Chronic with a site in China — 9 open to participants now, 9 under way, none of them phase 3. Hematoma, Subdural, Chronic · China.

Started
2023
with 1 other
Observational
2 of 17
2 open now
Registered
9th of 17
by date
Lead sponsor
6 of 17
Beijing Tiantan Hospital

Among the 17 studies in Hematoma, Subdural, Chronic with a site in China, this one is one of 2 that started in 2023, is one of 2 observational ones, and was the 9th registered.

Hematoma, Subdural, Chronic

112 studies on the registry are indexed under Hematoma, Subdural, Chronic; 49 are open to participants now.

This study's planned enrollment of 420 is above the median of 210 across 20 observational studies indexed under Hematoma, Subdural, Chronic.

Browse Hematoma, Subdural, Chronic studies →

Open to participants now

9 of the 17 studies in Hematoma, Subdural, Chronic with a site in China are open now.

All 9 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 35 Hematoma, Subdural, Chronic studies recruiting now, 26 (74%) set no upper age limit and 1 (3%) stop at 75 or younger; 1 take children under 18; 1 take healthy volunteers.

This study: 18 Years to 90 Years · all sexes · healthy volunteers too.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies in Hematoma, Subdural, Chronic with a site in China, or all of them as a file.
02

Study summary

A prospective, multicenter, case control trial is designed to compare difference in dietary and nutritional factors in patients with and without chronic subdural hematoma.

Read the detailed description

Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions, which is considered to be an inflammatory disease. Dietary factors can have an impact on the inflammatory mechanism in human body, which can increase a variety of inflammatory biomarkers in the blood. The risk of malnutrition in the elderly is generally high, and nutritional status can affect the risk of CSDH in the elderly. Little is known about the association of dietary factors with CSDH. The investigators speculate that dietary factors participate in and promote the occurrence and development of CSDH. This study will clarify whether there is a correlation between dietary factors and CSDH, which will reveal the pathogenesis and prevention of CSDH.

03

Conditions studied

  • Chronic Subdural Hematoma

Keywords

  • Chronic subdural hematoma
  • Dietary inflammatory index
  • Food frequency questionnaire
  • Modified frailty index
04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

CSDH patients and non-CSDH, age- and gender-matched patients recruited from 4 medical centres in China.

Eligibility criteria

Case group (CSDH group)

Inclusion Criteria:

  • Patients (18 years to 90 years) presenting with clinical symptoms and neurological deficits of CSDH.
  • CSDH verified on cranial computed tomography or magnetic resonance imaging.
  • Written from patients or their next of kin according to the patient's cognitive status.

Control group (Healthy group)

Inclusion Criteria:

  • non-CSDH patients (18 years to 90 years) with matched age and gender.
  • Written informed consent from patients or their next of kin according to the patient's cognitive status.

Exclusion Criteria for both case and control group:

  • Previous intracranial surgery for any neurological disorders but chronic subdural hematoma before.
  • CSDH turned from acute subdural hematoma.
  • Existing malignant tumors, poor medication condition or severe comorbidity.
  • Difficulty in feeding requiring long-term enteral or parenteral nutrition support.
  • Dietary and nutritional survey is estimated to be completed difficultly.
  • Reproductive-age women without verified negative pregnancy testing.
  • Participating in other research.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
420 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Case group (CSDH group)

    CSDH patients recruited from neurosurgical department at 4 medical centres in China, which have apparent clinical symptoms and are confirmed by computed tomography or magnetic resonance imaging.

    Other: Dietary and nutritional questionnaire · Other: Neurological function, cognitive function, and life quality assessment · Other: Peripheral blood test · Other: Metabonomic test · Other: Hematoma test

  • Control group (Healthy group)

    non-CSDH, age- and gender-matched patients recruited from ophthalmology, otolaryngology, and physical examination department at 4 medical centres in China.

    Other: Dietary and nutritional questionnaire · Other: Peripheral blood test · Other: Metabonomic test

Interventions

  • OtherDietary and nutritional questionnaire

    Nutrition assessment, nutrient intake, dietary inflammatory index, and frailty status will be examined using questionnaires.

  • OtherNeurological function, cognitive function, and life quality assessment

    Neurological function, cognitive function, and life quality will be examined using Glasgow Coma Scale, Modified Rankin Scale, Markwalder Grade Scale, Mini-mental state examination, and EuroQol five dimensions questionnaire.

  • OtherPeripheral blood test

    Collect peripheral blood samples from patients.

  • OtherMetabonomic test

    Collect urine and stool samples from patients.

  • OtherHematoma test

    Collect hematoma fluid, dura mater, and hematoma outer membrane samples from patients.

06

What researchers measure

Primary outcomes

  1. Difference in dietary intakes

    Difference in dietary intakes assessed by Food Frequency Questionnaire, a common method for measuring dietary intake in large epidemiological studies.

    Time frame: When subjects are enrolled

  2. Difference in Dietary Inflammatory Index score

    The Dietary Inflammatory Index (DII) score of the current nutritional status of patients with and without CSDH will be evaluated. The amounts of nutrients will be calculated using last 3-month nutrient analysis program. DII score will calculate from these foods. The z-score must first be calculated. To calculate the z-score, the standard global consumption amount is subtracted from the average consumption amount of the individual. The result obtained is divided by the standard deviation value. The z score found with this result is converted to the percentile score. The percentile value is multiplied by the full inflammatory effect score. DII is obtained as a result of summing the scores calculated for all nutrients. Found DII is an indicator of the inflammatory load of the individual's daily diet.

    Time frame: When subjects are enrolled

  3. Difference in nutritional status

    Difference in nutritional status measured by Mini-Nutritional Assessment.

    Time frame: When subjects are enrolled

  4. Difference in frailty status

    Difference in frailty status measured by Modified Frailty Index. Modified Frailty Index ranges from score 0 to 1, and frail status is defined as a score of ≥0.27.

    Time frame: When subjects are enrolled

Secondary outcomes

  1. Difference in gut microbiota measured by 16S rRNA between case group and control group

    Fecal sample will be measured by 16S rRNA sequencing. The alpha and beta diversity of gut microbiota between the groups will be analyzed, including a series of statistical analysis indexes such as Chao, Shannon, Simpsonace, Simpson and Coverage, in order to reflect the microbial community diversity. Based on the results of species annotation, the community histogram, the community heatmap and the Wayne map will be used to analyze the species composition of the sample, in order to explore the relationship between the species and the sample, and analyze the key microflora in the sample. The PCA, PCoA and NMDS analysis will be used to assess the similarities and differences in species composition between groups. To further screen the species with significant differences, the LEfSe difference discriminant analysis will be used.

    Time frame: When subjects are enrolled

  2. Difference in metabolomics of gut, urine, and serum between case group and control group

    Changes of metabolites in gut, urine, and serum will be measured by metabolomic mass spectrometry.

    Time frame: When subjects are enrolled

07

Study locations

4 of 4 sites recruiting
  • Huangshan City People's Hospital
    Huangshan, Anhui, China
    Recruiting
    • Jianbo Fang, M.D. · Contactdrfantasy@139.com · 15105590826
    • Xianqing Fang, M.D. · Principal investigator
    • Jianbo Fang, M.D. · Sub investigator
  • First People's Hospital of Lianyungang
    Lianyungang, Jiangsu, China
    Recruiting
    • Hui Zhou, M.D. · Contactlygzhouhui@163.com · 18961326536
    • Hui Zhou, M.D. · Principal investigator
  • People's Hospital of Ningxia Hui Autonomous Region
    Yinchuan, Ningxia, China
    Recruiting
    • Min Li, M.D. · Sub investigator
    • Dongming Ma, M.D. · Principal investigator
  • Beijing Tiantan Hospital, Capital Medical University
    Beijing, 100070, China
    Recruiting
    • Liang Wu, M.D. · Contactjasewl@sina.com · +8615001333582
    • Weiming Liu, M.D. · Principal investigator
    • Liang Wu, M.D. · Sub investigator
    • Bingcheng Zhu, M.D. · Sub investigator
    • Yunfei Li, M.D. · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2023 (actual). Primary completion is estimated for Dec 2024, 21 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 20, 2022
First posted
Oct 31, 2022
StartActual
Mar 13, 2023
Primary completionEst.
Dec 31, 2024
CompletionEst.
Mar 31, 2025
Last update
Apr 22, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05599217
Responsible party
Weiming Liu (Professor, Beijing Tiantan Hospital) — Principal investigator
First posted
Oct 31, 2022
Start date
Mar 13, 2023
Primary completion
Dec 31, 2024 (estimated)
Completion
Mar 31, 2025 (estimated)
Last update
Apr 22, 2024

Study contacts

Liang Wu, M.D.
Contact
jasewl@sina.com
15001333582 ext. +86
Zhaofeng Zhang, Ph.D.
Contact
Weiming Liu, M.D.
principal investigator · Beijing Tiantan Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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