Pre-hospital Tourniquet in Extremity Injury
Prospective Observational Multi-center Analysis of Pre-hospital Tourniquet in Extremity Injury
1 other identifier
observational
150
1 country
1
Brief Summary
2.1. Objective:
- Primary Objective: To compare outcomes of patients with extremity injuries presenting with or without pre-hospital tourniquet placement. 2.2. Study Outcome Measures
- Primary Outcome: Incidence of arrival in shock (SBP \<90)
- Secondary Outcomes: Demographics, comorbidities, mechanism of injury, cause of injury, diagnosis codes, procedure codes, Injury Severity Scale, Abbreviated Injury Scale, operative management vs. non-operative management, radiologic findings, pathologic findings, tourniquet effectiveness (as determined both subjectively by trauma surgeon and objectively by presence vs. absence of pulse below level of tourniquet application), total number of units of blood products transfused within first 24 hrs, total number of units of blood products for index admission, type of blood products or other fluid given, hospital length of stay, ICU length of stay, ventilator days, infectious complications, other complications, discharge disposition, 24 hr mortality, overall mortality.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Nov 2018
Longer than P75 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
Study Start
First participant enrolled
November 1, 2018
CompletedFirst Submitted
Initial submission to the registry
December 30, 2019
CompletedFirst Posted
Study publicly available on registry
January 2, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2025
CompletedNovember 20, 2024
September 1, 2024
6.2 years
December 30, 2019
November 18, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of arrival in shock
(Systolic Blood Pressure \<90 mmHg (Millimeter of mercury))
First 24 hours .
Interventions
patients with extremity injuries presenting with or without pre-hospital tourniquet placement.
Eligibility Criteria
All patients who present to the participating ED's who meet inclusion/exclusion criteria will be identified by the treating trauma surgeons.
You may qualify if:
- ≥ 18 y/o Patients with extremity injuries
- With a tourniquet in place OR
- Who the treating physician deems could have benefited from tourniquet placement
You may not qualify if:
- Children
- Prisoners
- Pregnant women
- Patients with non-traumatic bleeding requiring tourniquet use
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Methodist Dallas Medical Center
Dallas, Texas, 75203, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Michael Truitt, M.D.
The Methodist Hospital Research Institute
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 30, 2019
First Posted
January 2, 2020
Study Start
November 1, 2018
Primary Completion
January 1, 2025
Study Completion
January 1, 2025
Last Updated
November 20, 2024
Record last verified: 2024-09