Summary

Eligibility
for people ages 65 years and up (full criteria)
Healthy Volunteers
healthy people welcome
Location
at UCSF
Dates
study started
study ends around
Principal Investigator
by Geoffrey Manley, MD, PhD (ucsf)
Headshot of Geoffrey Manley
Geoffrey Manley

Description

Summary

The purpose of this study is to improve the diagnosis and prediction of recovery after traumatic brain injury (TBI) in adults age 65 years and older. The study will follow older adults who present to the emergency department after TBI, as well as matched control participants, and will measure clinical features, brain imaging, and blood-based biomarkers over 12 months to understand how recovery changes over time. Researchers will examine how pre-injury health, brain structure, and biological markers are related to disability and cognitive outcomes after TBI. Information from this study will be used to develop age-appropriate tools to better diagnose TBI and estimate long-term outcomes in older adults.

Keywords

Traumatic Brain Injury, Traumatic Brain Injuries

Eligibility

For people ages 65 years and up

TRACK-GERI/VA TBI PATIENT INCLUSION/EXCLUSION CRITERIA

Inclusion Criteria:

  1. Age 65 years and older, no upper age limit
  2. Reliable report or physical evidence of head trauma
  3. Injury occurred <72 hours ago (within 14 days of injury for TRACK-VA TBI patients)
  4. Acute brain CT for clinical use
  5. Fluency in English/Chinese (UCSF only)
  6. Ability to obtain informed consent from subject or legally authorized representative
  7. Ability to be co-enrolled with a study partner who meets Study Partner enrollment criteria

Exclusion Criteria:

  1. Significant polytrauma that would interfere with follow-up and outcome assessment
  2. Prisoners or patients in custody
  3. Patients on psychiatric hold (e.g. 5150, 5250)
  4. Low likelihood follow-up (participant or family is indicating a low interest, homelessness, out of state/country)
  5. Current participation in an interventional trial
  6. Penetrating TBI
  7. Spinal cord injury with ASIA score of C or worse
  8. Acute disabling neurological injury (e.g. acute stroke, cardiac arrest concurrent with head trauma presentation)

TRACK-GERI/VA STUDY PARTNERS OF TBI PATIENTS INCLUSION/EXCLUSION CRITERIA

Inclusion Criteria:

  1. Age 18 years or older
  2. Either designated by the patient, presents with patient to the Emergency Department, is listed in the patient's medical chart as an alternate/emergency contact, or is the patient's case manager/social worker, and knows the patient well enough to comment on the patient's health and functional status (e.g. may be family member, friend, caregiver, case manager, etc).
  3. Ability to read, write, and speak English/Chinese (UCSF only)
  4. Ability to provide informed consent for self

Exclusion Criteria:

  1. Pre-existing and major disabling medical, psychiatric, or other neurological disease (e.g. dementia) that interferes with ability to provide evaluation of patient's health and functional status.
  2. Prisoners or patients in custody
  3. Patients on psychiatric hold (e.g. 5150, 5250)

TRACK-GERI/VA CONTROL SUBJECT INCLUSION/EXCLUSION CRITERIA

Inclusion Criteria:

  1. Age 65 years or older, no upper age limit
  2. Visual acuity/hearing adequate for testing
  3. Fluency in English/Chinese (UCSF only)
  4. Ability to obtain informed consent from subject or legally authorized representative
  5. Ability to be co-enrolled with a study partner who meets study partner enrollment criteria (see control study partner enrollment criteria)
  6. For TRACK-VA patients only: Presentation to SFVAMC ED for acute care with planned discharge from ED.

Exclusion Criteria:

  1. Medically diagnosed with traumatic brain or orthopedic injury in the last year (TRACK-VA Control Subjects are not excluded for orthopedic injuries)
  2. Significant polytrauma that would interfere with follow-up and outcome assessment
  3. Prisoners or patients in custody
  4. Patients on psychiatric hold (e.g. 5150, 5250)
  5. Low likelihood follow-up (participant or family is indicating low interest, homelessness, out of state/country)
  6. Current participation in an interventional trial
  7. Penetrating TBI
  8. Spinal cord injury with ASIA score of C or worse
  9. Acute disabling neurological injury (e.g. acute stroke, cardiac arrest)

TRACK-GERI/VA STUDY PARTNERS OF CONTROL SUBJECTS INCLUSION/EXCLUSION CRITERIA

Inclusion Criteria:

  1. Age 18 years or older
  2. Designated by the control subject as someone who knows the subject well enough to comment on their health and functional starus (e.g., may be family member, friend, caregiver, case manager, etc.)
  3. Ability to read, write and speak English/Chinese (UCSF only)
  4. Ability to provide informed consent for self

Exclusion Criteria:

  1. Pre-existing and major disabling medical, psychiatric, or other neurological disease (e.g. dementia) that interferes with ability to provide evaluation of control subject's health and functional status.
  2. Prisoners or in custody
  3. On psychiatric hold (e.g. 5150, 5250)

Locations

  • University of California, San Francisco
    San Francisco California 94110 United States
  • San Francisco Veterans Affairs Medical Center
    San Francisco California 94121 United States
  • University of Pittsburgh
    Pittsburgh Pennsylvania 15213 United States

Lead Scientist at University of California Health

  • Geoffrey Manley, MD, PhD (ucsf)
    Dr. Manley is Chief of Neurosurgery at Zuckerberg San Francisco General Hospital and Professor and Vice Chairman of Neurological Surgery at UCSF. He is a trauma neurosurgeon and Co-Director of the Brain and Spinal Injury Center. Dr. Manley's research interests range from molecular aspects of traumatic brain injury (TBI) to the clinical care of TBI victims.

Details

Status
accepting new patients by invitation only
Start Date
Completion Date
(estimated)
Sponsor
University of California, San Francisco
Links
Related Info Related Info #2 Related Info #3
ID
NCT07296783
Study Type
Observational
Participants
Expecting 1500 study participants
Last Updated