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

A

Asan Medical Center

Status

Completed

Conditions

Multiple Pelvic Fractures

Study type

Observational

Funder types

Other

Identifiers

NCT03519594
AsanMC-Hematoma

Details and patient eligibility

About

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.

Full 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.

Enrollment

46 patients

Sex

All

Ages

18+ years old

Volunteers

No 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

Trial design

46 participants in 2 patient groups

Embolization group
Description:
The group that underwent embolization after pelvic injury.
Non-embolization group
Description:
The observed group of pelvic injuries without embolization

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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