Completed

NCT Number: NCT05409001

Falls From Sitting to Standing

Background: When evaluating trauma patients, many centers perform computed tomography of the head, cervical spine, chest, abdomen, and pelvis, the so-called "pan-scan." Here, we evaluate the utility of pan-scan in geriatric patients who sustained ground-level falls.

Study Design: We performed a retrospective review of consecutive patients from the trauma registry of a large, urban Level 1 trauma center. Inclusion criteria were registration during the 2019 calendar year, age ≥ 65, mechanism of fall from either sitting or standing, and performance of "pan-scan" at time of assessment. Patient demographics, physical exam findings, CT results, injuries, and patient disposition were recorded. The sensitivity, specificity, positive and negative predictive values of the physical exam for significant injuries were calculated.

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Key information

Conditions

Falls, Tomography of the Head, Cervical Spine, Chest, Abdomen, and Pelvis

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

SIUH Northwell Health

New York, 10305, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

age >65
presented with fall from sitting or standing from 01/01/2019-12/31/2019

Exclusion criteria

included

age <65 years,
falls from height,
GCS less than 14,
patients who did not undergo the complete pan-scan.

Treatment and study plan

tomography pan scan

Diagnostic Test

This is a retrospective chart review

Primary outcomes

Sensitivity of physical exam compared to CT scan and identifying traumatic injuries

Time frame: 2 years

Sensitivity of physical exam compared to CT scan and identifying traumatic injuries. Sensitivity is a statistical measure which was calculated using our SAS software as described in methods. CT scan was used as the gold standard. Both physical exam and CAT scan were performed on initial presentation with a time frame on the order of minutes to hours.
Prevalence of injury.

Time frame: 2 years

Traumatic injuries were determined by CT scan, tabulated, and broken down by body region as well as injury type. These data were collected at the time of CT scan on initial presentation. These data presented as whole numbers and percentages.
Disposition from ED

Time frame: 2 years

Dispositions were determined by chart review, tabulated, and broken down by disposition location. These data collected at the time of admission
Disposition from hospital.

Time frame: 2 years

Dispositions were determined by chart review, tabulated, and broken down by disposition location, including patient expiration in some cases. These data were collected at the time of discharge

Sponsors and collaborators

Lead sponsor

Northwell Health

Other

Registry information

Important dates

Study start: 2020
Primary completion: 2022
Study completion: 2022
First posted: Jun 7, 2022
Registry last updated: Jun 7, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.