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

Division of Traumatic and General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03133338

Enrollment

204

Registered

2017-04-28

Start date

2013-08-01

Completion date

2014-07-31

Last updated

2017-05-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pelvic Fracture

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.

Interventions

DEVICEpelvic binder

The requirement of angioembolization can be predicted by the presence of intravenous contrast extravasation (ICE) on computed tomography (CT)

Study design

Observational model

COHORT

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

20 Years to 90 Years

Healthy volunteers

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) -

Design outcomes

Primary

Measure	Time frame	Description
Blood transfusion	admission	Pelvic fracture with hemodynamic unstable

Secondary

Measure	Time frame	Description
admission mortality	mortality in the same admission	mortality in the same admission

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026