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Hypertonic Saline as Therapy for Pediatric Concussion

This study has been completed.
Information provided by (Responsible Party):
Angela Lumba, MD, University of California, San Diego Identifier:
First received: May 29, 2012
Last updated: February 20, 2014
Last verified: February 2014

This single center, blinded, randomized controlled trial evaluated the use of hypertonic saline versus normal saline as therapy for the symptoms of pediatric concussion post head injury.

The study hypothesis was that hypertonic saline would improve symptoms of pediatric concussion following head injury as measured on the self-reported Wong Baker Faces Pain Scale as compared to normal saline.

The null hypothesis was that there would be no difference in change of reported pain in either group.

Condition Intervention Phase
Drug: Hypertonic Saline
Other: Normal Saline
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Care Provider, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Hypertonic Saline as Therapy for Pediatric Concussion: A Randomized Controlled Trial in the Emergency Department

Further study details as provided by University of California, San Diego:

Primary Outcome Measures:
  • Change in Pain [ Time Frame: Following therapy to 2-3 days post discharge ]
    Self-reported pain assessment using the Wong-Baker Faces Pain Rating Scale. There are 6 faces with 5 intervals. Faces are numbered 0 to 10. Maximum score is the 6th face/10. Minimum score is the first face/0. Increasing faces represent increase in pain, decreasing faces represent decrease in pain. No subscales were included.

Secondary Outcome Measures:
  • Change in Nausea and Vomiting [ Time Frame: from initial symptoms to 2-3 days post discharge ]

Enrollment: 44
Study Start Date: March 2010
Study Completion Date: April 2012
Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: Normal Saline Other: Normal Saline
intravenous formulation of normal saline in a bolus dose of 10ml/kg over one hour
Other Name: NS
Experimental: Hypertonic Saline Drug: Hypertonic Saline
intravenous formulation of 3% hypertonic saline in a bolus dose of 10ml/kg over one hour
Other Names:
  • 3%
  • HTS


Ages Eligible for Study:   4 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • 4-17 years old
  • consent obtained
  • pain as a symptom of concussion
  • head CT negative for intracranial pathology

Exclusion Criteria:

  • younger than 4 years or older than 17 years
  • multi trauma
  • cardiac, neuro, renal history of disease
  • seizure
  • narcotic, drug use
  • pregnancy
  • head CT with traumatic intracranial pathology
  • no consent
  Contacts and Locations
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Please refer to this study by its identifier: NCT01612494

United States, California
Rady Children's Hospital Emergency Department
San Diego, California, United States, 92123
Sponsors and Collaborators
University of California, San Diego
Principal Investigator: Angela K Lumba, MD University of California, San Diego
Principal Investigator: Mary Hilfiker, MD University of California, San Diego
  More Information

Responsible Party: Angela Lumba, MD, Fellow, University of California, San Diego Identifier: NCT01612494     History of Changes
Other Study ID Numbers: HTS-100423
Study First Received: May 29, 2012
Results First Received: June 17, 2013
Last Updated: February 20, 2014 processed this record on April 28, 2017