Timing Impact of Early vs. Late Cranioplasty on Hemicraniectomy Outcomes
Thomas Jefferson University · NCT06632587
Opens the official ClinicalTrials.gov record, with the study team’s contacts. Bored Studies doesn’t enroll anyone.
Key facts
- Compensation
- Not posted. Ask the study team before screening.
- Who can join
- Ages 18+ · All sexes
- Healthy volunteers
- Accepted
- Study type
- Interventional · Not applicable
- Target enrollment
- 44
- US sites recruiting
- 1
- Study start
- September 1, 2024
- Record last updated
- July 23, 2025
Status re-checked against ClinicalTrials.gov within the last 12 hours.
What the study is about
This prospective, randomized study aims to comprehensively evaluate the impact of cranioplasty timing on postoperative complications and long-term functional outcomes following decompressive hemicraniectomy (DHC). The primary endpoint focuses on comparing the rates of various postoperative complications, including infection, seizures, return to the operating room, and the need for ventriculoperitoneal shunting, between patients undergoing standard of care cranioplasty (>3 months after DHC) and those receiving early cranioplasty (within 8 weeks).
Being studied: Early cranioplasty; Standard-of-care cranioplasty
Conditions: Craniocerebral Trauma; Stroke; Intracranial Hemorrhages
Eligibility criteria
Copied from the official record. The study team makes the final decision at screening.
Show full criteria
Inclusion Criteria
- Adults of age greater than or equal to 18 years at the time of acute traumatic injury or source of increased intracranial pressure secondary to stroke or intracranial hemorrhage necessitating decompressive hemicraniectomy (DHC)
- Patient's cranial flap fulfills Craniectomy Contour Class A or B after 4 weeks postoperatively (doi:10.1227/ons.0000000000000689)
- Medically optimized for general anesthesia/surgery
Exclusion Criteria
- Active systemic infection in weeks 6-8 post-DHC leading up to cranioplasty (e.g. pneumonia, urinary tract infection, soft tissue infection, bacteremia)
- Cranial infection in the post-DHC period
- Patient deemed not appropriate for early cranioplasty by attending neurosurgeon
- Patient mortality prior to 8 weeks post-injury ("injury" defined as "acute traumatic injury or source of increased intracranial pressure causing brain injury secondary to stroke or intracranial hemorrhage")
Recruiting US locations
Thomas Jefferson University Hospitals
Philadelphia, PA 19107
Site contact: Pious Patel, MD · (215) 955-7000
Study contacts (from the official record)
- Pious Patel, MD · (215) 955-7000 · pious.patel@jefferson.edu
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