Identifying risk factors for suboptimal pelvic binder placement in major trauma

Injury
F WilliamsonP Martin-Dines

Abstract

This study aimed to identify the frequency of sub-optimal pelvic binder placement at a tertiary-level trauma centre, produce a reproducible, quantitative measure of pelvic binder fit, and identify risk factors for sub-optimal placement. We identified all consecutive patients who had a pelvic binder in place on arrival to the Royal Brisbane and Women's Hospital in Queensland, Australia from 2012-2016. The X-Rays were reviewed by two senior clinicians for position and measured for degree of displacement if not optimally placed between the greater and lesser trochanters. Risk factors for sub-optimal position of the binder were assessed using multiple logistic regression with inclusion of all variables that had a statistical association (to p<0.05) at the univariate analysis stage. Secondary assessment was conducted of patients who had undergone CT imaging for subcutaneous body fat distribution. In total, 496 X-Rays were assessed for pelvic binder fit, finding 43.5% sub-optimally placed. 39.7% binders were superior to the greater trochanter line and 3.8% inferiorly placed below the lesser trochanter line. The majority of the sub-optimally placed binders were within 60 mm of the ideal position. Female patients had a greater risk of ...Continue Reading

References

May 6, 2003·Accident; Analysis and Prevention·Robert B Noland
Oct 13, 2006·The Journal of Trauma·Michael D StoverJohn H Wilber
Jan 26, 2007·Emergency Medicine Journal : EMJ·Caroline Lee, Keith Porter
May 8, 2007·Journal of the American College of Surgeons·Martin A CroceTimothy C Fabian
Oct 28, 2008·Public Health·B R Sharma
Jan 5, 2011·The Journal of Bone and Joint Surgery. American Volume·S P KnopsI B Schipper
Nov 8, 2011·The Journal of Bone and Joint Surgery. British Volume·T J BonnerJ C Clasper
Jun 15, 2012·The Journal of Trauma and Acute Care Surgery·Mark L PrasarnGlenn R Rechtine
Aug 27, 2013·The American Journal of Emergency Medicine·Chih-Yuan FuChun-Hsiang Ouyang
Nov 16, 2013·Emergency Medicine Journal : EMJ·I ScottM Bloch
Mar 18, 2015·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Jonathan J MorrisonJan O Jansen
Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·D J BrysonR Mackenzie
May 20, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Peyman BakhshayeshAnna Tötterman
Nov 12, 2016·The Western Journal of Emergency Medicine·Rahul VaidyaJohn Swartz
Dec 28, 2016·JAMA : the Journal of the American Medical Association·Joseph L DielemanChristopher J L Murray
Jan 25, 2017·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
Oct 13, 2017·Annals of the Royal College of Surgeons of England·H NaseemA Clayson

❮ Previous
Next ❯

Citations

Jul 10, 2021·The Journal of Trauma and Acute Care Surgery·Joseph J DuBoseTodd Costantini

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Annals of the Royal College of Surgeons of England
H NaseemA Clayson
BMJ Case Reports
Alastair BeavenJulian Cooper
Bilten Udruz̆enja ortodonata Jugoslavije = Bulletin of Orthodontic Society of Yugoslavia
M MarkovićI Sćepan
© 2021 Meta ULC. All rights reserved