Falls From Sitting to Standing

Completed

• Conditions: Falls, Tomography of the Head, Cervical Spine, Chest, Abdomen, and Pelvis

• Registration Number: NCT05409001
• Lead Sponsor: Northwell Health

Brief Summary

Background: When evaluating trauma patients, many centers perform computed tomography of the head, cervical spine, chest, abdomen, and pelvis, the so-called "pan-scan." Here, we evaluate the utility of pan-scan in geriatric patients who sustained ground-level falls.

Study Design: We performed a retrospective review of consecutive patients from the trauma registry of a large, urban Level 1 trauma center. Inclusion criteria were registration during the 2019 calendar year, age ≥ 65, mechanism of fall from either sitting or standing, and performance of "pan-scan" at time of assessment. Patient demographics, physical exam findings, CT results, injuries, and patient disposition were recorded. The sensitivity, specificity, positive and negative predictive values of the physical exam for significant injuries were calculated.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-10-06
• Primary Completion: 2022-05-09
• Study Completion: 2022-05-09
• Study First Submitted: 2022-05-23
• Status Verified: 2022-06
• Study First Submitted QC: 2022-06-06
• Last Update Submitted: 2022-06-06
• Study First Posted: 2022-06-07
• Last Update Posted: 2022-06-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 751

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Sensitivity of physical exam compared to CT scan and identifying traumatic injuries	2 years	Sensitivity of physical exam compared to CT scan and identifying traumatic injuries. Sensitivity is a statistical measure which was calculated using our SAS software as described in methods. CT scan was used as the gold standard. Both physical exam and CAT scan were performed on initial presentation with a time frame on the order of minutes to hours.
Prevalence of injury.	2 years	Traumatic injuries were determined by CT scan, tabulated, and broken down by body region as well as injury type. These data were collected at the time of CT scan on initial presentation. These data presented as whole numbers and percentages.
Disposition from ED	2 years	Dispositions were determined by chart review, tabulated, and broken down by disposition location. These data collected at the time of admission
Disposition from hospital.	2 years	Dispositions were determined by chart review, tabulated, and broken down by disposition location, including patient expiration in some cases. These data were collected at the time of discharge

Trial Locations

Locations (1)

SIUH Northwell Health; 🇺🇸 New York, New York, United States