Impact of Associated Abdominal Injuries on Clinical and Operative Outcome in Pelvic Injuries

NCT ID: NCT03952026

Last Updated: 2019-05-16

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 16359 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2018-12-06
• Study Completion Date: 2019-05-10

Brief Summary

Pelvic fractures are severe injuries which require advanced orthopedic surgical skills to treat. On the other hand, abdominal injuries are severe injuries, which might require quick general surgical treatment. The combination of both injuries is a challenge for orthopedic surgeons, as the abdominal injury might lead to a delayed surgical treatment of the pelvic fracture. Whether an associated abdominal injury influences the quality of care of pelvic fractures, is aim of this registry study.

Detailed Description

The German Pelvic Registry of the German Trauma Society is a multicenter prospective registry which collects data of patients with pelvic injuries since 2003. Beside demographic data (including concomitant injuries) allowing for epidemiological evaluations of the development of surgical care in these patients, namely the operative care is focus of this registry. Beside the chosen procedure or surgical approach, this includes both intraoperative data like time until operation, duration of the procedure or intraoperative blood loss and reduction parameters (pre- and postoperative fracture steps). The clinical course is recorded also including overall morbidity, overall mortality and osteosynthesis-related complications.

The influence of a concomitant abdominal trauma on the quality of care regarding operative parameters like reduction quality or the clinical course in pelvic injuries has not been investigated yet.

The investigators therefore retrospectively analyze the prospective consecutive data of patients from the multicenter German Pelvic Registry of the German Trauma Society in the years 2003 - 2017. Demographic, clinical and operative parameter were recorded and compared in two groups (isolated pelvic fracture vs. combined abdominal/pelvic trauma).

Conditions

Pelvic Ring Fracture; Acetabular Fracture; Abdominal Trauma; Polytrauma

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

isolated pelvic fracture

Patients with an isolated pelvic fracture

osteosynthesis of the pelvis

Intervention Type: PROCEDURE

Osteosynthetic Fixation of the pelvic fracture

combined abodominal/pelvic injury

Patients with a combined injury of a pelvic fracture and an abdominal injury.

osteosynthesis of the pelvis

Intervention Type: PROCEDURE

Osteosynthetic Fixation of the pelvic fracture

Interventions

osteosynthesis of the pelvis

Osteosynthetic Fixation of the pelvic fracture

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Pelvic fracture

Exclusion Criteria

• no agreement to participate in the registry

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

BG Trauma Center Tuebingen

OTHER

Sponsor Role: lead

Responsible Party

Markus Küper

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Markus A Küper, MD

Role: PRINCIPAL_INVESTIGATOR

BG Trauma Center Tübingen

Locations

BG Trauma Center

Tübingen, , Germany

Countries

Germany

References

Kuper MA, Bachmann R, Wenig GF, Ziegler P, Trulson A, Trulson IM, Minarski C, Ladurner R, Stockle U, Hoch A, Herath SC, Stuby FM; Working Group on Pelvic Fractures of the German Trauma Society. Associated abdominal injuries do not influence quality of care in pelvic fractures-a multicenter cohort study from the German Pelvic Registry. World J Emerg Surg. 2020 Jan 17;15:8. doi: 10.1186/s13017-020-0290-x. eCollection 2020.

Reference Type: DERIVED

PMID: 31988652 (View on PubMed)

Other Identifiers

001

Identifier Type: -

Identifier Source: org_study_id