Blood Transfusion Among Patients With Pelvic Fracture in China
PBM
Establishment for Prediction Model of Intraoperative Blood Transfusion for Patients With Pelvic Fracture in China: A Multicenter Observational Study
1 other identifier
observational
2,000
1 country
1
Brief Summary
According to the patient's blood management concept, this study intends to collect basic information, surgical data, blood transfusion related data and patient prognosis data of patients with pelvic fractures, and to construct a predictive model of intraoperative blood transfusion in patients with pelvic fractures by multiple linear regression analysis. To guide physicians use blood accurately during surgery. Prompt doctors to reduce blood transfusion dose and improve patient prognosis by stopping bleeding and blood recovery before surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2019
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 25, 2019
CompletedFirst Posted
Study publicly available on registry
February 27, 2019
CompletedStudy Start
First participant enrolled
April 5, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2019
CompletedFebruary 27, 2019
February 1, 2019
4 months
January 25, 2019
February 25, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Matta Radiographic Scoring
Reductions were graded by the maximal displacement measured on the 3 standard views of the pelvis. Criteria were: excellent 4 mm or less, good 5 to 10 mm, fair 10 to 20 mm, and poor more than 20 mm.
6 months of postoperation
Mortality
Mortality during hospitalization
24 hours after the Patients' Hospitalization
Secondary Outcomes (3)
Hb difference
24 hours after transfusion
Pain assessed by the VAS
15 minutes, 30 minutes, 1 hours, 2 hours, 4 hours, 6 hours, 12 hours, 18 hours, 24 hours postoperatively
Postoperative Duration of Stay in Hospital of patients
52 Weeks
Study Arms (1)
Pelvic fracture patients
(1) 1\<Age\<80, and Chinese residents living in China more than 3 years; (2) Hemoglobin value less than 100g/L during hospitalization; Not suffered from pelvic fracture within 3 months; Not suffer from pathological fractures of the pelvis caused by malignant tumors; without chronic anemia and coagulopathy; accept blood transfusion
Eligibility Criteria
Patients with pelvic fractures who meet the standard in China, 1\<Age\<80.
You may qualify if:
- (1) 1\<Age\<80, and Chinese residents living in China more than 3 years;
- (2) Hemoglobin value less than 100g/L during hospitalization;
You may not qualify if:
- (1) Participants who suffered from pelvic fracture within 3 months
- (2) Participants who suffer from pathological fractures of the pelvis caused by malignant tumors
- (3) Participants with chronic anemia and coagulopathy
- (4) Participants who rufuse blood transfusion
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The Third Xiangya Hospital of Central South Universitylead
- Beijing Shijitan Hospital, Capital Medical Universitycollaborator
- The Affiliated Hospital Of Southwest Medical Universitycollaborator
- Zhejiang Provincial People's Hospitalcollaborator
- Central South Universitycollaborator
- Qilu Hospital of Shandong Universitycollaborator
- Beijing Aerospace General Hospitalcollaborator
Study Sites (1)
Third Xiangya Hospital
Changsha, Hunan, 410013, China
Related Publications (7)
Sathy AK, Starr AJ, Smith WR, Elliott A, Agudelo J, Reinert CM, Minei JP. The effect of pelvic fracture on mortality after trauma: an analysis of 63,000 trauma patients. J Bone Joint Surg Am. 2009 Dec;91(12):2803-10. doi: 10.2106/JBJS.H.00598.
PMID: 19952241BACKGROUNDPerkins ZB, Maytham GD, Koers L, Bates P, Brohi K, Tai NR. Impact on outcome of a targeted performance improvement programme in haemodynamically unstable patients with a pelvic fracture. Bone Joint J. 2014 Aug;96-B(8):1090-7. doi: 10.1302/0301-620X.96B8.33383.
PMID: 25086126BACKGROUNDSantana-Cabrera L, Rodriguez Gonzalez F, Palacios MS. Delayed perforation of the sigmoid colon following a major pelvic fracture. J Emerg Trauma Shock. 2010 Oct;3(4):425-6. doi: 10.4103/0974-2700.70770. No abstract available.
PMID: 21063578BACKGROUNDCarson JL, Terrin ML, Noveck H, Sanders DW, Chaitman BR, Rhoads GG, Nemo G, Dragert K, Beaupre L, Hildebrand K, Macaulay W, Lewis C, Cook DR, Dobbin G, Zakriya KJ, Apple FS, Horney RA, Magaziner J; FOCUS Investigators. Liberal or restrictive transfusion in high-risk patients after hip surgery. N Engl J Med. 2011 Dec 29;365(26):2453-62. doi: 10.1056/NEJMoa1012452. Epub 2011 Dec 14.
PMID: 22168590BACKGROUNDNathens AB. Massive transfusion as a risk factor for acute lung injury: association or causation? Crit Care Med. 2006 May;34(5 Suppl):S144-50. doi: 10.1097/01.CCM.0000214309.95032.65.
PMID: 16617259BACKGROUNDOhmori T, Matsumoto T, Kitamura T, Tamura R, Tada K, Inoue T, Hayashi T, Numoto K, Tokioka T. Scoring system to predict hemorrhage in pelvic ring fracture. Orthop Traumatol Surg Res. 2016 Dec;102(8):1023-1028. doi: 10.1016/j.otsr.2016.09.007. Epub 2016 Nov 17.
PMID: 27865687BACKGROUNDHardy JF, de Moerloose P, Samama CM; Members of the Groupe d'Interet en Hemostase Perioperatoire. Massive transfusion and coagulopathy: pathophysiology and implications for clinical management. Can J Anaesth. 2006 Jun;53(6 Suppl):S40-58. doi: 10.1007/BF03022251.
PMID: 16766790BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Target Duration
- 3 Years
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 25, 2019
First Posted
February 27, 2019
Study Start
April 5, 2019
Primary Completion
August 1, 2019
Study Completion
September 1, 2019
Last Updated
February 27, 2019
Record last verified: 2019-02
Data Sharing
- IPD Sharing
- Will not share