Predictors Of Mortality After Pelvic Fractures: A Retrospective Cohort Study From A Level-1 Trauma Center In Upper Egypt

Completed

• Conditions: Registries; Pelvic Bone Injury; Morality
• Interventions: Other: The presence of a pelvic fracture

• Registration Number: NCT03618446
• Lead Sponsor: Assiut University

Brief Summary

A retrospective cohort study was carried out for all pelvic fracture patients admitted to Assiut University Trauma Unit (AUTU), a level-1 trauma center. (AUTU) is located in Upper Egypt and provides healthcare to over 30,000 patients per year.

Detailed Description

In 2010, a Pelvic Injury Registry was developed to document treatment and outcomes in a standardized manner. All patients admitted to AUTU sign an informed consent to permit using their data for research purposes. Patients' data are prospectively collected and stored in a local database specifically designed for this purpose.

Data collected included age, gender, mechanism of injury, fracture classification, associated injuries, and admission to ICU, the length of hospital stay and presence of abdominopelvic collection as diagnosed by Focused Assessment with Sonography for Trauma (FAST) at admission. The primary outcome measure was in-hospital mortality. Predictors of in-hospital mortality were identified by comparing characters of survivors and non-survivors. Secondary objectives were to analyse the differences between adults and children and to analyse the causes and timing of death.

Study Timeline

• Study Start: 2010-01-01
• Primary Completion: 2013-12-31
• Study Completion: 2017-09
• Study First Submitted: 2018-07-05
• Study First Submitted QC: 2018-08-05
• Study First Posted: 2018-08-07
• Status Verified: 2022-02
• Last Update Submitted: 2022-02-15
• Last Update Posted: 2022-02-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1188

Inclusion Criteria

• first-time admissions and patients whose treatment was completed at our hospital
• all pelvic fracture patients admitted to our Trauma Unit.

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Exclusion Criteria

• penetrating injuries
• isolated acetabular fractures
• Patients who were discharged on their own will against the medical advice or whose treatment was continued at another hospital
• re-admitted patients
• Firearm injuries

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Survivors	The presence of a pelvic fracture	Patients whose pelvic fracture and survived till time of discharge from the hospital.
Non-Survivors	The presence of a pelvic fracture	Patients whose pelvic fracture and died while in hospital.

Primary Outcome Measures

Name	Time	Method
in-hospital mortality	One month	Death occurring while the patient is admitted in the hospital.