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INternational ORthopaedic MUlticenter Study in Fracture Care (INORMUS)

Completed
Conditions
Fractures or Dislocations
Registration Number
NCT02150980
Lead Sponsor
McMaster University
Brief Summary

Background: Worldwide, injuries from trauma represent a major public health problem. The World Health Organization (WHO) has deemed this problem as one of the most important global priorities, calling 2011-2020 the 'Decade of Action for Road Safety'. Despite this, there is little empirical data in low and middle-income countries quantifying the burden of musculoskeletal injuries.

Methods: INORMUS is a global, prospective, multi-center, observational cohort study. The primary objective of the study is to determine the mortality, re-operation and infection rates of musculoskeletal trauma patients within 30 days post-hospital admission. The INORMUS study seeks to enroll 40,000 patients from low-middle income countries in Africa, Asia, and Latin America.

Detailed Description

Number of Participants:

40,000

Primary Research Objectives:

To determine among adult individuals admitted to hospital with musculoskeletal trauma (e.g. fractures or dislocations):

1. The incidence of major complications (mortality, re-operation and infection) as a composite outcome and the components of the composite within 30 days post-hospital admission.

2. The factors (system and patient variables) associated with the composite of major complications (mortality, re-operation and infection) within 30 days post-hospital admission.

Secondary Research Objective:

To determine the rates of major complications within 30 days post-hospital admission by type of fracture treatment provided (e.g. splinting versus operative fixation) and admission to hospital time (e.g. \<72 hours or \> 72 hours).

Diagnosis and Main Inclusion Criteria:

This study has minimal exclusion criteria by design. All patients 18 years of age or older admitted to a recruiting hospital for treatment of an orthopaedic injury that occurred within 3 months will be eligible for participation. Patients who are diagnosed with an orthopaedic fracture, dislocation, or fracture dislocation of the appendicular skeleton or spine will be included.

Study Outcomes:

The primary outcome is a composite of mortality, mortality, re-operation and infection within 30 days from hospital admission for all research objectives.

Duration of Patient Follow-Up:

Study participants will be followed until 30 days post hospital admission.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
39797
Inclusion Criteria
  • patients 18 years of age or older
  • admitted to a recruiting hospital for treatment of an orthopaedic injury
  • injury occurred within 3 months of hospital admission
  • patients diagnosed with an orthopaedic fracture, dislocation, or fracture dislocation of the appendicular skeleton or spine will be included.
Read More
Exclusion Criteria

Not provided

Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
mortality, re-operation and infection30 days post-hospital admission
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (68)

Clínica Zabala

🇦🇷

Buenos Aires, Argentina

Indira Ganghi Medical College

🇮🇳

Puducherry, India

Philippine General Hospital

🇵🇭

Manila, Philippines

Hospital de Beneficencia Sirio-Libanes

🇧🇷

San Paolo, Brazil

Charlotte Maxete Johannesburg Acadamic Hospital

🇿🇦

Johannesburg, South Africa

Princess Marina Hospital

🇧🇼

Gaborone, Botswana

Anhui Provincial Hospital

🇨🇳

Hefei, Anhui, China

Clinica Fracturas y Fracturas

🇨🇴

Pereira, Colombia

Black Lion Hospital

🇪🇹

Addis Ababa, Ethiopia

Baptist Christian Hospital

🇮🇳

Tezpur, Assam, India

St John Medical College

🇮🇳

Bangalore, India

Komfo Anokye Teaching Hospital (KATH)

🇬🇭

Kumasi, Ghana

Chris Hani Baragwanath Acadamic Hospital

🇿🇦

Johannesburg, South Africa

Noble Hospital

🇮🇳

Pune, India

Sancheti Institute for Orthopaedics and Rehabilitation

🇮🇳

Pune, India

Sina Trauma and Surgery Research Center/University of Tehran

🇮🇷

Tehran, Iran, Islamic Republic of

Viet Duc Hospital

🇻🇳

Hanoi, Vietnam

Cho Ray Hospital

🇻🇳

Ho Chi Minh City, Vietnam

Beijing Anzhen Hospital affiliated to Capital University of Medical Sciences

🇨🇳

Beijing, Beijing, China

Hospital de Clínicas - UNICAMP

🇧🇷

São José dos Campos, Brazil

Shanghai No.10 People's Hospital

🇨🇳

Shanghai, Shanghai, China

Medical College & Hospital, Bharati Vidyapeeth Deemed University

🇮🇳

Pune, India

Rift Valley provincial hospital

🇰🇪

Karuru One, Kenya

Kiambu District Hospital

🇰🇪

Kiambu, Kenya

Hospital Santo Tomás

🇵🇦

Panama city, Panama

Helen Joseph Hospital

🇿🇦

Johannesburg, South Africa

Muhimbili Orthopaedic Institute

🇹🇿

Dar es Salaam, Tanzania

Ramathibodi Hospital

🇹🇭

Bangkok, Thailand

Beijing Chaoyang Hospital

🇨🇳

Beijing, Beijing, China

Xiamen University affiliated First Hospital

🇨🇳

Xiamen, Fujian, China

Langfang Aidebao General Hospital

🇨🇳

Langfang, Hebei, China

Langfang People's Hospital

🇨🇳

Langfang, Hebei, China

Beijing Luhe Hospital

🇨🇳

Beijing, Beijing, China

Harbin Medical University Second hospital

🇨🇳

Harbin, Heilongjiang, China

Second Bethune Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Hanzhong People's Hospital

🇨🇳

Hanzhong, Shaanxi, China

Shenyang Orthopaedic Hospital

🇨🇳

Shenyang, Liaoning, China

Tianjin Hospital

🇨🇳

Tianjin, Tianjin, China

The 2nd affiliated hospital of Wenzhou Medical University

🇨🇳

Wenzhou, Zhejiang, China

Mulago Hospital, Makerere University College of Health Sciences

🇺🇬

Kampala, Uganda

Fort Portal Regional Referral Hospital

🇺🇬

Fort Portal, Uganda

University of Malawi

🇲🇼

Blantyre, Malawi

National Orthopaedic Hospital Enugu

🇳🇬

Enugu, Nigeria

Instituto de Prevision Social - Central Hospital

🇵🇾

Asunción, Paraguay

Hospital Puerta de Hierro

🇲🇽

Jalisco, Mexico

CMC Vellore

🇮🇳

Vellore, India

Centro Médico Imbanaco

🇨🇴

Cali, Colombia

Dr L H Hiranandani Hospital

🇮🇳

Mumbai, India

AIC Kijabe Hospital

🇰🇪

Kijabe, Kenya

Christus Muguerza Hospital Saltillo

🇲🇽

Saltillo, Mexico

Lumbini Medical College

🇳🇵

Kathmandu, Nepal

Kilimanjaro Christian Medical Centre

🇹🇿

Moshi, Tanzania

AIIMs Hospital

🇮🇳

Delhi, India

Indian Institue for Spinal Care

🇮🇳

Delhi, India

Social Security Hospitals

🇲🇽

Mexico City, Mexico

Hospital Civil de Guadalajara

🇲🇽

Guadalajara, Mexico

Smt N H L Municipal Medical College

🇮🇳

Gujrat, Ahmedabad, India

Data Meghe Institute of Medical Sciences

🇮🇳

Wardha, India

Baptist Hospital Mutengene

🇨🇲

Mutengene, Cameroon

Post Graduate Institute of Medical Education and Research

🇮🇳

Chandigarh, India

University Teaching Hospital

🇷🇼

Kigali, Rwanda

Hospital Universitario de Caracas

🇻🇪

Caracas, Venezuela

CMC Ludhiana

🇮🇳

Ludhiana, India

Social Security Hospital

🇲🇽

Monterrey, Mexico

State trauma and surgical centre

🇳🇬

Ondo, Nigeria

Northwest General Hospital & Research Centre

🇵🇰

Peshawar, Pakistan

Khon Kaen Hospital

🇹🇭

Khon Kaen, Thailand

Kenyatta National Hospital

🇰🇪

Nairobi, Kenya

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