Pediatric Pelvic Injuries - Epidemiology and Demography

Epidemiological Study of Pediatric Pelvic Injuries

A retrospective epidemiological study of pediatric pelvic injury from level 1 trauma centre.

Hypothesis: In the pediatric population, majority of pelvic injuries is of type A according to AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) classification, the treatment is mostly conservative and complications of injury and treatment are less common than in adults.

Study Overview

• Status: Completed
• Conditions: Child, Only; Pelvis Injury
• Intervention / Treatment: Procedure: surgical treatment according to standard indication criteria; Procedure: conservative treatment according to standard indication criteria

Detailed Description

Study design: Retrospective analysis (13 years), excluding pathological fractures. AO/OTA type, epidemiological data, mode of treatment, and complications were recorded. Data were analyzed using the Fisher exact test and the Wilcoxon test.

• Study Type: Observational
• Enrollment (Actual): 358

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 year to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

358 patients (243 boys, 115 girls), mean age (SD) 14.1 ± 3.0 years

Description

Inclusion Criteria of primary study group:

• Age ≤ 18 years
• Single pelvic bone fractures or pelvic ring injuries

Inclusion Criteria of secondary study group:

• Age ≤ 18 years
• Combined pelvic and acetabular injuries
• Isolated fractures of the acetabulum

Exclusion Criteria:

• Pathological fractures

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Pelvic injury; Paediatric patients (age ≤ 18 years) with a single pelvic bone fracture or pelvic ring injury, excluding pathological fractures.	Procedure: surgical treatment according to standard indication criteria; internal fixation according to standard indication criteria; Procedure: conservative treatment according to standard indication criteria; conservative therapy according to standard indication criteria
Pelvic and acetabular injury; Paediatric patients (age ≤ 18 years) with a combined pelvic and acetabular injury or an isolated acetabular fracture, excluding pathological fractures.	Procedure: surgical treatment according to standard indication criteria; internal fixation according to standard indication criteria; Procedure: conservative treatment according to standard indication criteria; conservative therapy according to standard indication criteria

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Epidemiological study of pediatric pelvic trauma	The overall incidence of pelvic ring injury per 100,000 children per year.; The overall incidence of isolated acetabular fractures per 100,000 children per year.; The overall incidence of combined pelvic ring and acetabular injuries per 100,000 children per year.	Follow-up of each patient for minimum 12 months.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Demographical study of pediatric pelvic trauma	Comparison of the incidence of observed injuries by sex.; Comparison of the incidence of observed injuries according to the severity of trauma (single trauma vs. multiple trauma).; The incidence of the types of pelvic ring injury (according to AO/OTA classification) per 100,000 children per year.	Follow-up of each patient for longer then 12 months.

Collaborators and Investigators

• Sponsor: Charles University, Czech Republic
• Collaborators: University Hospital Pilsen; Faculty Hospital Kralovske Vinohrady
• Investigators: Study Chair: Valer Dzupa, MD, Charles University, Czech Republic

Publications and helpful links

General Publications

• DeFrancesco CJ, Sankar WN. Traumatic pelvic fractures in children and adolescents. Semin Pediatr Surg. 2017 Feb;26(1):27-35. doi: 10.1053/j.sempedsurg.2017.01.006. Epub 2017 Jan 5.
• Tosounidis TH, Sheikh H, Giannoudis PV. Pelvic Fractures in Paediatric Polytrauma Patients: Classification, Concomitant Injuries and Early Mortality. Open Orthop J. 2015 Jul 31;9:303-12. doi: 10.2174/1874325001509010303. eCollection 2015.

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2007
• Primary Completion (Actual): December 31, 2019
• Study Completion (Actual): February 1, 2021

Study Registration Dates

• First Submitted: February 9, 2021
• First Submitted That Met QC Criteria: February 14, 2021
• First Posted (Actual): February 16, 2021

Study Record Updates

• Last Update Posted (Actual): February 16, 2021
• Last Update Submitted That Met QC Criteria: February 14, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: Pediatric Pelvis 01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Patients´ personal data will not be shared. The study results will be shared when published in a medical journal.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No