Pelvic fracture pattern predicts the need for hemorrhage control intervention-Results of an AAST multi-institutional study

The Journal of Trauma and Acute Care Surgery
Todd W CostantiniAAST Pelvic Fracture Study Group

Abstract

Early identification of patients with pelvic fractures at risk of severe bleeding requiring intervention is critical. We performed a multi-institutional study to test our hypothesis that pelvic fracture patterns predict the need for a pelvic hemorrhage control intervention. This prospective, observational, multicenter study enrolled patients with pelvic fracture due to blunt trauma. Inclusion criteria included shock on admission (systolic blood pressure <90 mm Hg or heart rate >120 beats/min and base deficit >5, and the ability to review pelvic imaging). Demographic data, open pelvic fracture, blood transfusion, pelvic hemorrhage control intervention (angioembolization, external fixator, pelvic packing, and/or REBOA [resuscitative balloon occlusion of the aorta]), and mortality were recorded. Pelvic fracture pattern was classified according to Young-Burgess in a blinded fashion. Predictors of pelvic hemorrhage control intervention and mortality were analyzed by univariate and multivariate regression analyses. A total of 163 patients presenting in shock were enrolled from 11 Level I trauma centers. The most common pelvic fracture pattern was lateral compression I, followed by lateral compression I, and vertical shear. Of the 12 ...Continue Reading

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Citations

Jul 29, 2020·The American Surgeon·William J ParkerMatthew J Bradley
Jul 2, 2019·The Journal of Trauma and Acute Care Surgery·Juan DuchesneDanielle Tatum
Jul 11, 2020·Journal of Orthopaedic Surgery and Research·Husham AbdelrahmanHassan Al-Thani
Sep 7, 2018·The Journal of Trauma and Acute Care Surgery·Bryant W OliphantMark R Hemmila
Apr 23, 2020·The Journal of Trauma and Acute Care Surgery·Simone FrassiniOsvaldo Chiara
Nov 14, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·David Dreizin
Nov 3, 2017·Current Opinion in Critical Care·Philip F StahelErnest E Moore
Feb 8, 2020·The Journal of Trauma and Acute Care Surgery·Simone S FrassiniOsvaldo O Chiara
Feb 15, 2018·The Journal of Trauma and Acute Care Surgery·Nicole Townsend ChristianFredric M Pieracci
Oct 3, 2018·The Journal of Trauma and Acute Care Surgery·Sakib M AdnanJonathan J Morrison
Oct 27, 2020·The American Surgeon·Monika GarciaRaul Coimbra
Jan 7, 2021·Journal of Clinical Medicine·Simone FrassiniOsvaldo Chiara
Feb 10, 2021·Journal of Orthopaedic Surgery and Research·Myoung Jun KimSeung Hwan Lee
Oct 29, 2020·Revista do Colégio Brasileiro de Cirurgiões·JÚlio PatrocÍnio MoraesJose Cesar Assef
Nov 17, 2020·Journal of Clinical Orthopaedics and Trauma·Julia R ColemanCyril Mauffrey
Sep 18, 2020·BMJ Military Health·William ParkerM Bradley
May 5, 2021·World Journal of Emergency Surgery : WJES·Makoto AokiKiyohiro Oshima
May 22, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hossam AbdouJonathan J Morrison
Aug 17, 2021·The Journal of Trauma and Acute Care Surgery·Nathan C ShermanAndrew L Tang
Jul 10, 2021·The Journal of Trauma and Acute Care Surgery·Joseph J DuBoseTodd Costantini
Oct 16, 2021·European Journal of Medical Research·Matteo RenzulliRita Golfieri

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