Effect of positioning after surgery on chronic subdural hematoma recurrence

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to evaluate how the postoperative Trendelenburg position affects the recurrence of chronic subdural hematoma (CSH) in patients undergoing surgery. It is an open-label, randomized, controlled trial conducted across three hospitals in Medellín, where patients are assigned to either the Trendelenburg position or a flat bed for 24 hours post-surgery. The study measures CSH recurrence at three months, alongside functional outcomes, adverse events, and patient comfort levels.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* The study included patients aged 18 years or older who required surgical management of symptomatic CSH confirmed by CT scan and whose informed consent was given by the patient or responsible family member to participate in the study

Exclusion Criteria:

* Pregnant or breastfeeding
* Conditions in which the trendelenburg position might not be safe, such as intracranial hypertension without a drain to allow evacuation of the hematoma, cardiovascular instability (severe heart failure, unstable angina, cardiogenic pulmonary edema), acute respiratory distress syndrome without a secure airway, glaucoma, spinal cord trauma not stabilized with surgery, peripheral vascular disease,
* History of ipsilateral chronic subdural hematoma drainage, intracranial hypotension syndrome, ventriculoperitoneal shunting
* Simultaneous participation in any other clinical trial.

Where it's running

• Clinica CES
  Medellín, Antioquia, Colombia Recruiting
• Hospital San Vicente Fundación
  Medellín, Antioquia, Colombia Recruiting
• Instituto Neurologico de Colombia
  Medellín, Antioquia, Colombia Recruiting

Study contacts

• Study coordinator: Jorge H Montenegro, Neurosurgery resident
• Email: montenegromjh@gmail.com
• Phone: +573117727801

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.