Clinical trial Recruiting at 1 site Observational Ages 18 to 65

Observational study on surgical treatments for acute epidural hematoma

Official title: A Real World, Multicenter, Prospective, Observational Study to Compare Effectiveness of Surgical Treatments in Patients With Acute Epidural Hematoma

Run by RenJi Hospital · NCT04229966 · Data updated 2026-11-12

This study looks at different surgical treatments for people in China with acute epidural hematoma after a brain injury to see which methods work best.

Quick facts

Study typeObservational
Ages18 Years to 65 Years
SexAll
Enrollment2000 (estimated)
SponsorRenJi Hospital
Academic / other
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedNovember 2, 2020
Main results expectedDecember 31, 2027
Study endsDecember 31, 2027
Registry record updatedJanuary 14, 2026
Trial IDNCT04229966 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include patients with a clear history of traumatic brain injury and supratentorial unilateral acute epidural hematoma who require surgical evacuation.

Probably not a fit

Patients with severe pre-existing disabilities, bilateral fixed and dilated pupils, or other significant intracranial injuries may not benefit from this study.

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

What this trial studies

This multicenter, prospective, observational study investigates the current surgical treatments and outcomes for patients with acute epidural hematoma (AEDH) in China. It aims to analyze the effectiveness of various surgical approaches and optimize therapy for this life-threatening condition. The study focuses on patients who have experienced traumatic brain injury and require surgical intervention within 12 hours of injury. By collecting real-world data, the study seeks to improve understanding of treatment protocols and patient prognosis.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical strategies and better outcomes for patients with acute epidural hematoma.

How similar studies have gone: While there is limited data on specific surgical methods for AEDH, similar observational studies have shown promise in optimizing treatment protocols for traumatic brain injuries.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Clear medical history of traumatic brain injury;
2. within 12 hours after injury;
3. Supratentorial unilateral acute epidural hematoma on first head CT scan examination;
4. The admitting neurosurgeon considers that the epidural hematoma needs to be evacuated with surgical treatment;
5. With informed consent to surgery and trial participation.

Exclusion Criteria:

1. Previous intracranial surgery prior to trauma;
2. Patients with a score of 3 on the GCS, with bilateral fixed and dilated pupils, bleeding diathesis or defective coagulation, or an injury that was deemed to be unsurvivable;
3. CT demonstrates associated other intracranial hematomas e.g. subdural, intracerebral hemorrhage, or large size infarction, which are the main causes of operation;
4. Patients who had injury of the oculomotor nerve;
5. Severe pre-existing disability or severe co-morbidity which would lead to a poor outcome even if the patient is supposed to a good recovery from the TBI;
6. Pregnant female.

Where it's running

  • Department of Neurosurgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

Similar studies

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

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.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.