Ultrasound may let mild head injury patients skip hospital stay
NCT ID NCT03989999
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a simple ultrasound of the brain's blood flow can safely identify mild traumatic brain injury patients who can go home right away instead of staying in the hospital for observation. About 550 adults with mild head injuries will be randomly assigned to either the ultrasound-guided discharge or standard care. The goal is to see if the ultrasound approach is just as good at preventing long-term problems.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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550 people
The number who actually took part.
- Started
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Feb 2020
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Mild TBI (GCS 13-15 on ED admission) with one of the following: * Patient with minor cerebral lesion on initial CT scan (TCDBII i.e. no midline shift, visible basal cisterns and haemorrhagic lesion \< 25 cc) and GCS 15 after CT scan * OR \* Patient with normal initial CT scan (TCDB I) with at least one risk factor : * GCS = 14 after CT scan * and/or alcoholic intoxication * and/or on-going treatment with anticoagulants or anti-platelet therapy * and /or persisting nausea, and/or vomiting and/or headaches * Early initial CT scan (\< 4 hours after TBI) * Possibility of home supervision by a third-party * Affiliation to the French social security system * Patient have signed consent form * Possibility to perform a TCD within 12 hours * Stable hemodynamics defined as a blood pressure greater than 90 mmHg, an SpO2 greater than 92% and a hemoglobin concentration greater than 8g/dl, or, in the absence of measured physiologic parameters or the absence of biological sampling, mention in the patient's medical record of a stable clinical examination in terms of hemodynamics and respiratory function. Exclusion Criteria: * CT scan classified as TCDB III - VI * Penetrating head-trauma * Patient under mechanical ventilation * Patients treated with anticoagulants or anti-platelet therapy (except Aspirin) * Hospitalization required by post-traumatic extra-cranial lesion, intoxication (except alcoholic), pre-existing condition (including congenital hemostasis disorders) or social factors at the discretion of the physician. * Internal Carotid dissection * Post-traumatic lesion in the posterior cerebral fossa * Subject in exclusion period of another interventional study, * Pregnant women, breastfeeding women * Subject under administrative or judicial control, under protection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AP-HP Lariboisière
Paris, France
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AP-HP Pitié Salpetrière
Paris, France
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CH Melun
Melun, France
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CHU Clermont-Ferrand
Clermont-Ferrand, France
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CHU Grenoble Alpes
Grenoble, France
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CHU Nantes
Nantes, France
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CHU Poitiers
Poitiers, France
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CHU Réunion
Saint-Denis, 97400, France
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CHU Toulouse
Toulouse, France
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Chu Reunion
Saint-Pierre, 97448, France
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HCL - Edouard Herriot
Lyon, France
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HCL - Lyon Sud
Lyon, France
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Other studies related to the condition(s) this trial covers.
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