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Effect of the Postoperative Trendelenburg Position on Chronic Subdural Hematoma Recurrence
Sponsor: Universidad de Antioquia
Summary
Objective: Determine the effect of the postoperative trendelenburg position on the recurrence of chronic subdural hematoma (CSH) in patients undergoing surgery. Materials and Methods: An open-label, randomized, controlled clinical trial was conducted in three hospitals in Medellín. Patients with CSH were enrolled and assigned to the trendelenburg position (30° leg elevation and 10° head tilt) or a flat bed for 24 hours postoperatively. CSH recurrence was measured at 3 months, along with functional outcome (modified Rankin scale), adverse events, and comfort (Likert scale).
Official title: Effect of the Postoperative Trendelenburg Position on Chronic Subdural Hematoma Recurrence: a Clinical Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
254
Start Date
2024-06-01
Completion Date
2027-04-30
Last Updated
2025-04-22
Healthy Volunteers
No
Interventions
Trendelenburg position
In addition to the management described above, the postoperative position was modified in the intervention group (trendelenburg). After admission to the hospital unit (general ward, special care, or intensive care unit), the patient's position was adjusted with a 30° leg elevation and a 10° downward head tilt. Proper positioning was verified with a goniometer. This position was maintained until the drains were removed, and the patient was then positioned according to usual care. If the patient decided to get out of bed, the nurse occluded the drains and reopened them when the patient returned to the position described for each group.
Locations (3)
Clinica CES
Medellín, Antioquia, Colombia
Hospital San Vicente Fundación
Medellín, Antioquia, Colombia
Instituto Neurologico de Colombia
Medellín, Antioquia, Colombia