Splenic Embolisation Decisions
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Hospital Plymouth NHS Trust
About this trial
The spleen is often injured when the body sustains trauma. This leads to bleeding. The bleeding can be stopped by a big operation cutting open the belly or a small hole in your groin where a blood vessel can be accessed and through which the bleeding can be stopped. We do not know what types of injuries it is best to use this procedure. We do not know why we do not use the smaller technique in some instances. We also do not know exactly which of a number of ways to stop the bleeding could be better. We have a big data set in the trauma and audit research network (TARN) which we would like to use to help answer these questions and design further studies to better answer the questions. Adding a few other pieces of data, we are able to answer key questions into how the spleen will best be treated in trauma.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
None
Trial population
All patients identified as having an acute traumatic splenic injury grade AAST 2-5 on the TARN database between the given dates will be included. Hospitals who decline participation in the data collection will have their patients excluded from the analysis excluded by site as identified in TARN database
Trial design
Design model
Other
Time perspective
Other
Treatments tested in this trial
Not listed
Trial groups
8,000 Participants
are grouped into 3 trial groupsGroup A: Conservative management
Group B: Splenic embolisation
Group C: Splenectomy
Trial outcomes
Primary outcomes
1
Splenic embolisation rate as percentage of; acute splenic trauma per Major Trauma Centre (MTC)
Splenic embolisation rate as percentage of; acute splenic trauma, per injury grade and per Major Trauma Centre (MTC). Failure of conservative management rate and splenectomy rate.
Time frame
5 years2
Number of On call IR consultants affecting embolisation rate
Does the number of on call IR consultants affect the embolisaiton rate
Time frame
5 years3
What is the splenic salvage rate for proximal versus distal embolisation
What is the splenic salvage rate for proximal versus distal embolisation
Time frame
5 years4
Readmission rate of splenic embolisation versus splenectomy
Readmission rate of splenic embolisation versus splenectomy
Time frame
5 yearsSponsors and contacts
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Source ClinicalTrials.gov