The Size of Pelvic Hematoma Can be a Predictive Factor for Angioembolization

The Size of Pelvic Hematoma Can be a Predictive Factor for Angioembolization in Hemodynamically Unstable Pelvic Trauma

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03519594

Enrollment

Registered

2018-05-09

Start date

2011-01-01

Completion date

2017-05-01

Last updated

2018-05-09

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

Conditions

Multiple Pelvic Fractures

Keywords

angioembolization, computed tomography

Brief summary

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. The purpose of this study was to predict the necessity of embolization and the timing of angiography using CT scans.

Detailed description

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.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* patients with shock (systolic blood pressure \<90 mmHg) arrived at a single hospital within 24 h after injury after pelvic fracture

Exclusion criteria

* declared dead on arrival * patients with other organ injuries

Design outcomes

Primary

Measure	Time frame	Description
Predictive factors for embolization in unstable pelvic fracture	2 years	The factors affecting embolization are analyzed by logistic regression analysis

Secondary

Measure	Time frame	Description
The odds ratio of mortality rate between two groups	2 years	Obtain the difference in mortality rate between two groups
Cut-off values of pelvic hematoma width	2 years	Measure the length of pelvic hematoma using the ROC curve

Outcome results