Clinical trial NCT03952026: Impact of Associated Abdominal Injuries on Clinical and Operative Outcome in Pelvic Injuries
Official title: Impact of Associated Abdominal Injuries on Clinical and Operative Outcome in Pelvic Fractures - a Multicenter Study From the German Pelvic Registry
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Pelvic Ring Fracture
Acetabular Fracture
Abdominal Trauma
Polytrauma
Keywords: Pelvic trauma
Pelvic ring fracture
Acetabular Fracture
Abdominal Trauma
Polytrauma
Reduction quality
Lead sponsor: BG Trauma Center Tuebingen
Sponsor class: OTHER
First posted: 2019-05-16
Enrollment: 16359
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients with a pelvic fracture Group 1: isolated pelvic fracture Group 2: combined abdominal/pelvic injury

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).

Eligibility criteria: Inclusion Criteria:

* Pelvic fracture

Exclusion Criteria:

* no agreement to participate in the registry

Primary outcomes:
measure: "Matta" Grading
timeFrame: through study completion, at least 1 year after inclusion
measure: Overall morbidity
timeFrame: through study completion, at least 1 year after inclusion
Secondary outcomes:
measure: osteosynthesis-associated complications
timeFrame: through study completion, at least 1 year after inclusion
measure: length of hospital stay
timeFrame: through study completion, at least 1 year after inclusion
measure: Time until definitive pelvic surgery
timeFrame: through study completion, at least 1 year after inclusion
Other outcomes:
Locations:
city: Tübingen
country: Germany
facility: BG Trauma Center
Study officials:
affiliation: BG Trauma Center Tübingen
name: Markus A Küper, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.