Three-in-one protocol reduces mortality of patients with haemodynamically unstable pelvic fractures-a five year multi-centred review in Hong Kong

International Orthopaedics
Mina ChengMing Leung

Abstract

The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review the results of management of haemodynamically unstable pelvic fracture patients in Hong Kong over a five year period. This is a retrospective multi-centred cohort study of patients with haemodynamic and mechanically unstable pelvic fractures from 1 January 2010 to 31 December 2014. The primary outcome investigated is mortality of patients (including overall, 30-day, 7-day and 24-hour mortalities). Implementation of three-in-one pelvic damage control protocol was identified to be a significant independent predictive factor for overall, 30-day, seven-day and 24-hour mortalities. The overall in-hospital and 30-day mortality rates for patients managed with three-in-one protocol was 12.5%, while it was 11% for seven day mortality and 6% for 24 hour mortality. There were no significant differences in demographic characteristics, physiological measurements, types of pelvic fracture, severity and mechanism of injury between patien...Continue Reading

References

Jun 19, 2004·Injury·P V Giannoudis, H C Pape
Jul 3, 2004·ANZ Journal of Surgery·Martin J HeetveldMichael Sugrue
Dec 14, 2004·World Journal of Surgery·Martin J HeetveldMichael Sugrue
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Apr 18, 2009·Injury·Christopher E WhiteJohn B Holcomb
Nov 26, 2009·The British Journal of Surgery·T GrossA L Jacob

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Citations

Aug 17, 2018·International Orthopaedics·Abdulla JawedMark Rees Williams
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Ramesh PerumalVivek Trikha
Aug 17, 2021·The Journal of Trauma and Acute Care Surgery·Nathan C ShermanAndrew L Tang

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