Clinical features and risk factors for mortality in patients with open pelvic fracture: A retrospective study of 46 cases.

Journal of Orthopaedic Surgery
Qingshan GuoYang Li

Abstract

This study aimed to investigate the clinical features, current management strategies, and outcomes of open pelvic fracture patients. We performed a retrospective review of data on patients with blunt trauma and open pelvic fractures admitted to our trauma center over a 5-year period (January 2013 to December 2017). Demographic as well as clinical data including injury mechanism, injury severity score (ISS), fracture classifications, transfusion requirements, interventions, length of hospital and intensive care unit (ICU) stay, and prognosis were investigated. Univariate analysis and binary logistic regression were used to identify the risk variables of death. Finally, a brief literature review was performed to understand the current capacity of treatment and prognosis of this type of injury. Forty-six patients (36 male and 10 female) were included in this study, mean age 43.2 ± 14.2 years. The overall mortality rate was 17.4%; 43.5% of the patients were hypotensive (systolic blood pressure (SBP) <90 mmHg) on arrival. The average ISS was 31.7 ± 6.7, and the average packed red blood cell (PRBC) transfusion during the first 24 h was 9.6 ± 7.4 units. Five patients (10.9%) underwent transcatheter arterial embolization in the early s...Continue Reading

References

Mar 1, 1978·The Journal of Trauma·D RothenbergerJ F Perry
Mar 1, 1992·American Journal of Surgery·R SinnottA Brader
Mar 1, 1982·Diseases of the Colon and Rectum·R E KusminskyJ P Boland
Sep 1, 1994·Archives of Surgery·P D FaringerD D Trunkey
May 1, 1997·The Journal of Trauma·F D BrennemanD A Redelmeier
Jul 1, 1997·The Orthopedic Clinics of North America·A L JonesP Wimmer
May 1, 1997·Orthopaedic Nursing·L Mourad
Mar 28, 1998·Archives of Surgery·R K WoodsR V Maier
Sep 7, 1999·Injury·P C Ferrera, D A Hill
Mar 26, 2004·Der Unfallchirurg·J WesthoffF Kutscha-Lissberg
Nov 26, 2005·American Journal of Surgery·Christopher J DenteWalter L Ingram
Dec 26, 2009·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Shigeki KushimotoMakoto Kawai
Oct 13, 2010·The Journal of Trauma·Juan C DuchesneMichael Rotondo
Nov 19, 2010·Musculoskeletal Surgery·Michelangelo ScaglioneG Guido
Feb 22, 2013·The Journal of Trauma and Acute Care Surgery·Lisa K CannadaUNKNOWN Southeastern Fracture Consortium
May 16, 2013·Intensive Care Medicine·Andrew W KirkpatrickUNKNOWN Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome
Dec 18, 2013·Clinics in Orthopedic Surgery·Ebrahim Ghayem Hasankhani, Farzad Omidi-Kashani
Dec 3, 2014·American Journal of Surgery·Caitlin A FitzgeraldChristopher J Dente
Jun 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Hiroshi KatoAtsushi Kusaba
Sep 8, 2016·The Journal of Trauma and Acute Care Surgery·Ronald Brian TesorieroThomas M Scalea
Oct 1, 2016·Expert Review of Neurotherapeutics·J FlussS Chabrier
Nov 30, 2016·Critical Care Clinics·Jonathan J Morrison
Feb 22, 2017·The Open Orthopaedics Journal·Vincenzo GiordanoNey Pecegueiro do Amaral
Nov 29, 2017·American Journal of Surgery·Eliza E MoskowitzMitchell J Cohen
Mar 1, 2018·The American Journal of Emergency Medicine·Chih-Yuan FuShih-Ching Kang
Apr 15, 2018·Journal of Orthopaedic Surgery and Research·E HermansJ Biert
May 17, 2018·Trauma Surgery & Acute Care Open·Sammy S SiadaKimberly A Grannis
Nov 17, 2019·Orthopaedic Surgery·Zheng-Hao Wang, Kai-Nan Li
May 1, 2020·Military Medicine·Marshall BahrMark H Yazer

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Apr 18, 2021·International Journal of Computer Assisted Radiology and Surgery·Pengbo LiuS Kevin Zhou

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