Patients with pelvic fractures from blunt trauma. What is the cause of mortality and when?

American Journal of Surgery
Rahul VaidyaAnil Sethi

Abstract

Mortality in patients sustaining pelvic fractures has been reported to be 4% to 15%. We sought to investigate the cause of death based on timing and evaluate if type of fracture and Injury Severity Score have an influence on the survival time. Sixty-nine patients of eight hundred sixty seven with a pelvic fracture who died during their hospital admission were included. Fractures were classified using the Arbeitsgemeinschaft Osteosynthesefragen/Orthopaedic Trauma Association system. Cause determined by autopsy in 48/69. The leading cause of death within 6 hours was abdominal and pelvic hemorrhage; 6 to 24 hours head injury, and greater than 24 hours multiple organ dysfunction syndrome. Survival time did not correlate between fracture type (P < .12) or Injury Severity Score. Only 2 patients died of isolated pelvic hemorrhage. Despite the advances made in acute management of the traumatized patient in the emergency department, mortality is unavoidable in a small group of patients with hemorrhage being the commonest cause of early death but isolated pelvic hemorrhage rare.

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Citations

Aug 7, 2016·Case Reports in Orthopedics·Rahul VaidyaLawrence N Diebel
Sep 7, 2018·The Journal of Trauma and Acute Care Surgery·Bryant W OliphantMark R Hemmila
Dec 27, 2019·Veterinary Surgery : VS·Meike HammerAntonio Pozzi
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Feb 18, 2021·The Journal of Sexual Medicine·Alice B WaltonCooper R Benson
Sep 18, 2020·BMJ Military Health·William ParkerM Bradley

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