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

Completed

• Conditions: Pelvic Fracture

• Registration Number: NCT03133338
• Lead Sponsor: Tri-Service General Hospital

Brief 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.

Detailed 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.

Study Timeline

• Study Start: 2013-08-01
• Primary Completion: 2014-07-31
• Study Completion: 2014-07-31
• Status Verified: 2017-04
• Study First Submitted: 2017-04-25
• Study First Submitted QC: 2017-04-27
• Study First Posted: 2017-04-28
• Last Update Submitted: 2017-04-28
• Last Update Posted: 2017-05-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 204

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) -

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Blood transfusion	admission	Pelvic fracture with hemodynamic unstable

Secondary Outcome Measures

Name	Time	Method
admission mortality	mortality in the same admission	mortality in the same admission