- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02800278
Characteristics and Outcomes of Odontoid Fragility Fractures in Elderly (FOOP)
Usually, cervical spine fractures are not considered as osteoporotic fractures. However, recent studies show that odontoid fractures are the most common fractures of the cervical spine in elderly and may occur in a context of low trauma energy. Thus, the goal of this observationnal study is :
- to describe the different type of odontoid fracture and to characterize bone status in elderly patient (>65 y) who underwent odontoid fracture in a context of low trauma energy.
- To describe short and long term outcomes
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
All patients over 65 y admitted for low trauma odontoid fracture will be consecutively included in the study after informed consent. The investigators will record:
- clinical risk factor of osteoporosis and health habits including accomodation
- type of fracture and characterization of the odontoid fracture on imaging (standard X ray / MRI / QCT)
- Bone status : bone mineral density on DXA, lab tests for secondary osteoporosis check-up, previous vertebral fracture on VFA or X ray
- osteoporosis managment : nutrition, vitamin D, anti-osteoporotic drugs
- treatment of the fracture : surgical / non surgical
- adverse event during hospitalization
- lenght of hospital stay
- type of discharge
Follow-up à 3 and 12 months : dead vs alive ; accomodation ; autonomy ; new fracture
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
-
-
-
Nice, Frankrig, 06000
- CHU
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- all patients over 65 y admitted for low traumat odontoid fracture
Exclusion Criteria:
- patient < 65 y
- traumatic odontoid fracture
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
bone status at the time of odontoid fracture: bone mineral density, prevalent osteoporotic fracture, vitamin D status
Tidsramme: from date of inclusion until to 3 weeks after the event. Inclusion will be proposed within 2 weeks after the fracture
|
clinical risk factor of osteoporosis, prevalent clinical osteoporotic fracture, bone mineral density measured by DXA, vertebral fracture assessment to detect other vertebral fracture, serum concentration in 25OHvitamin D
|
from date of inclusion until to 3 weeks after the event. Inclusion will be proposed within 2 weeks after the fracture
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
mortality
Tidsramme: during hospitalization - 3 and 12 months after inclusion
|
mortality after odontoid fracture during hospitalization and at 3 and 12 monts
|
during hospitalization - 3 and 12 months after inclusion
|
|
morbidity
Tidsramme: during hospitalization - 3 and 12 months after inclusion
|
incident osteoporotic fracture, adverse event such as infection, cardiovascular event, neurological event
|
during hospitalization - 3 and 12 months after inclusion
|
|
loss of autonomy
Tidsramme: discharge, 3 and 12 months
|
lenght of hospital stay, type of discharge (home, nursing home, rehabilitation bed care, institutionalized accomodation
|
discharge, 3 and 12 months
|
Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: veronique breuil, MD, PhD, Centre Hospitalier Universitaire De Nice
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CHU de Nice RHUM
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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