Effect of Early Pelvic Binder Use in Emergency Management of Suspected Pelvic Trauma: a Retrospective Cohort Study

Pelvic Fracture Clinical Trial

Official title:

Division of Traumatic and General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03133338
• Other study ID #: TSGHIRB No. 1-103-05-122
• Status: Completed
• Phase: N/A
• First received: April 25, 2017
• Last updated: April 28, 2017
• Start date: August 1, 2013
• Est. completion date: July 31, 2014

Study information

• Verified date: April 2017
• Source: Tri-Service General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

The investigators aimed to evaluate the effect of early pelvic binder use in emergency management of suspected pelvic trauma, compared with the conventional stepwise approach.

Description:

There is currently no universal consensus on all aspects of management of pelvic injuries.

Among patients with multiple injuries because of blunt trauma, 5%-16% sustain injuries to the pelvic ring, resulting in a mortality rate of 11%-54% primarily due to hemorrhagic shock. In theory, the reduction and stabilization of the pelvic ring can decrease bleeding from the fracture site, as reduction of pelvic volume has been shown to reduce the extent of hemorrhage from such injuries.The application of a pelvic binder has become part of the emergency care of all trauma patients with suspected pelvic fractures, in both the pre-hospital environment and emergency department (ED). The present study aimed to assess the effectiveness of the early use of pelvic binders to treat patients with a suspected high risk of pelvic bleeding from blunt force pelvic fractures.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 204
• Est. completion date: July 31, 2014
• Est. primary completion date: July 31, 2014
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 90 Years

Eligibility

Inclusion Criteria:

• Traumatic injury requiring a trauma team and at least one of the following: loss of consciousness or Glasgow coma score (GCS) < 13; systolic blood pressure < 90 mmHg; falling from =6 m; injury to multiple vital organs; and suspected pelvic injury. -

Exclusion Criteria:

• Not meet the criteria and loss follow up (transfer to other hospital or data not available) -

Related Conditions & MeSH terms

• Hip Fractures
• Pelvic Fracture

Intervention

Device:
• pelvic binder
The requirement of angioembolization can be predicted by the presence of intravenous contrast extravasation (ICE) on computed tomography (CT)

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Tri-Service General Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Blood transfusion	Pelvic fracture with hemodynamic unstable	admission
Secondary	admission mortality	mortality in the same admission	mortality in the same admission