The Size of Pelvic Hematoma Can be a Predictive Factor for Angioembolization
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|ClinicalTrials.gov Identifier: NCT03519594|
Recruitment Status : Completed
First Posted : May 9, 2018
Last Update Posted : May 9, 2018
|Condition or disease|
|Multiple Pelvic Fractures|
Background: Unstable pelvic fracture with bleeding can be fatal, with a mortality rate of up to 40%. Therefore, early detection and treatment are important in unstable pelvic trauma. We investigated the early predictive factors for possible embolization in patients with hemodynamically unstable pelvic trauma.
Methods: From January 2011 to December 2013, 46 patients with shock arrived at a single hospital within 24 h after injury. Of them, 44 patients underwent computed tomography (CT) after initial resuscitation, except for 2 who were dead on arrival. Nine patients with other organ injuries were excluded. Seventeen patients underwent embolization. A single radiologist measured the width (longest length in axial view) and length (longest length in coronal view) of pelvic hematoma on CT scans. Demographic, clinical, and radiological data were reviewed retrospectively.
|Study Type :||Observational|
|Actual Enrollment :||46 participants|
|Official Title:||The Size of Pelvic Hematoma Can be a Predictive Factor for Angioembolization in Hemodynamically Unstable Pelvic Trauma|
|Actual Study Start Date :||January 1, 2011|
|Actual Primary Completion Date :||December 31, 2013|
|Actual Study Completion Date :||May 1, 2017|
The group that underwent embolization after pelvic injury.
The observed group of pelvic injuries without embolization
- Predictive factors for embolization in unstable pelvic fracture [ Time Frame: 2 years ]The factors affecting embolization are analyzed by logistic regression analysis
- The odds ratio of mortality rate between two groups [ Time Frame: 2 years ]Obtain the difference in mortality rate between two groups
- Cut-off values of pelvic hematoma width [ Time Frame: 2 years ]Measure the length of pelvic hematoma using the ROC curve
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Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03519594
|Principal Investigator:||Suk-kyung Hong, Ph.D.||Asan Medical Center|