High-energy trauma patients with pelvic fractures: Management trends in Ontario, Canada

Injury
Stephen M MannStephen Hall

Abstract

Although fractures of the pelvic ring account for only 2-3% of all fractures, they are present in approximately 7-20% of patients with high-energy polytrauma. High-energy pelvic fractures are life-threatening injuries, with mortality estimates ranging from 6 to 35%. The purpose of this study was to examine trends in the incidence, diagnosis, treatment, and mortality rates of high-energy pelvic fractures in Ontario, Canada over a 10-year period. A cohort of 3915 patients who sustained a high-energy pelvic fracture in Ontario between 01 April 2005 and 31 March 2015 was identified using the Ontario Trauma Registry and administrative healthcare data linked by the Institute for Clinical Evaluative Science (ICES). Severely injured patients (defined as having an Injury Severity Score (ISS) of ≥16) with pelvic fractures following high-velocity mechanisms of injury were identified using applicable ICD-10 codes. Trends were assessed statistically using the Poisson and the Cochrane-Armitage tests for trend. Modified Poisson regression was used to model the adjusted risk ratio of mortality by pelvic fracture treatment. The incidence of pelvic fracture remained constant at approximately 4.6 cases per 100,000 population annually between 2005...Continue Reading

References

Jan 1, 1996·AJR. American Journal of Roentgenology·D S CervaS O Pais
Jul 13, 2004·Injury·Kenji InabaFrederick D Brenneman
Jan 11, 2007·Journal of Orthopaedic Trauma·Wade SmithErnest Moore
Jul 3, 2009·The Journal of the American Academy of Orthopaedic Surgeons·David J HakTakashi Suzuki
Jun 1, 2013·Journal of Clinical Orthopaedics and Trauma·V AnandakumarR Zhu

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