Severe pelvic fracture-related bleeding in pediatric patients: does it occur?

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
H TuovinenL Handolin

Abstract

Pediatric pelvic fractures are rare and less likely to cause hemodynamic instability than similar injuries in adult patients. The associated injuries are common, and they have a major impact on mortality. The aim of the present study was to evaluate the risk of life-threatening hemorrhage associated with unstable pelvic fractures in children. We identified retrospectively all pediatric pelvic fractures (ring and acetabulum) treated at Helsinki University Central Hospital during a 10-year period (1998-2007). Stable A-type fractures (fractures not involving the pelvic ring) were excluded. All available pre- and in-hospital medical records were reviewed. The collected data consisted of patient characteristics, mechanisms of injury, vital signs, laboratory tests, care given, other injuries diagnosed, and the 30-day survival rate. There were 71 (40 males) pediatric patients (median age 14, range 1-16 years) with unstable pelvic fractures; 66 pelvic ring and 5 acetabulum fractures. The most common mechanism of injury was traffic accident (69%). Four patients had life-threatening bleeding. All had fracture of a mature pelvic ring, but the source of massive bleeding was pelvic ring fracture in only two patients (2.8% of all patients). ...Continue Reading

References

Jan 1, 1989·Transfusion Medicine Reviews·R A SacherR G Strauss
May 1, 1989·The Journal of Trauma·H R ChampionM E Flanagan
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Jan 1, 1996·Journal of Pediatric Surgery·N IsmailJ J Tepas
Sep 1, 1996·Intensive Care Medicine·U CorbaneseP Bordino
Mar 1, 1997·Clinical Orthopaedics and Related Research·H Rieger, E Brug
Jul 25, 2000·Clinical Orthopaedics and Related Research·R D BlasierD T Mitchell
Aug 13, 2002·Journal of Orthopaedic Trauma·Nicolas GrisoniLaurel C Blakemore
Jun 19, 2003·The Journal of Trauma·Demetrios DemetriadesLinda Chan
Dec 17, 2003·Journal of Pediatric Orthopedics·Wade R SmithSteven J Morgan
Feb 28, 2008·The Journal of Trauma·Oliver HauschildHagen Schmal

❮ Previous
Next ❯

Citations

Apr 17, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·I Marzi, T Lustenberger
Jul 5, 2021·International Orthopaedics·Martin SalášekValér Džupa

❮ 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

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
Yavuz SaglamFatih Dikici
Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
V DžupaV Báča
Zeitschrift für Urologie und Nephrologie
C BickP F Ziegler
Archives of Orthopaedic and Trauma Surgery
O LansingerI F Goldie
© 2021 Meta ULC. All rights reserved