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Predictive Significance of TEG on END in Patients With Acute Ischemic Stroke

D

Dongguan People's Hospital

Status

Completed

Conditions

Acute Ischemic Stroke

Study type

Observational

Funder types

Other

Identifiers

NCT03310931
DongguanPeopleH

Details and patient eligibility

About

The purpose of this study is to evaluate whether Thromboelastography (TEG) parameters on admission might be predictive for early neurological deterioration in acute ischemic stroke patients, specifically for the DWI lesion evolution within the first week after stroke onset.

Full description

Early neurological deterioration (END ) is a major concern in stroke care, consistently associated with adverse clinical outcomes.END is a heterogeneous complex of pathophysiological and clinical entities. Despite some straight forward causes, DWI lesion growth is reportedly a primary underlying mechanism. Early recognition of END risk would allow for timely identification and proper intervention, improving stroke health care.

Thromboelastography (TEG) measures the coagulation process from initial clotting cascade to clot strength, providing an integrated picture of two separate but simultaneously occuring components of coagulation, thrombosis and lysis. It has been reported to be associated with short and long-term outcome in patients with trauma, coronary artery diseases , pulmonary embolism and, most recently, stroke prevention.The purposes of this study is to evaluate how effective TEG is on predicting END, by producing a range of TEG values correlated with clinical and radiological assessment.

Enrollment

200 patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • acute ischemic stroke within 24 hours after symptom onset
  • first ever stroke
  • give informed consent

Exclusion criteria

  • receiving thrombolysis
  • cardiogenic embolism
  • contradiction to serial MRI studies
  • taking hemostatic agents (warfarin, oral anticoagulants and etc. )

Trial design

200 participants in 1 patient group

End and non-END groups
Description:
END was denied as NIHSS score increase of 2 or more than 2 within 7 days after admission

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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