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RECRUITING
NCT06911736
NA

Effect of the Postoperative Trendelenburg Position on Chronic Subdural Hematoma Recurrence

Sponsor: Universidad de Antioquia

View on ClinicalTrials.gov

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

OTHER

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