What are predictors of mortality in patients with pelvic fractures?

Clinical Orthopaedics and Related Research
J H HolsteinWorking Group Mortality in Pelvic Fracture Patients

Abstract

Our knowledge of factors influencing mortality of patients with pelvic ring injuries and the impact of associated injuries is currently based on limited information. We identified the (1) causes and time of death, (2) demography, and (3) pattern and severity of injuries in patients with pelvic ring fractures who did not survive. We prospectively collected data on 5340 patients listed in the German Pelvic Trauma Registry between April 30, 2004 and July 29, 2011; 3034 of 5340 (57%) patients were female. Demographic data and parameters indicating the type and severity of injury were recorded for patients who died in hospital (nonsurvivors) and compared with data of patients who survived (survivors). The median followup was 13 days (range, 0-1117 days). A total of 238 (4%) patients died a median of 2 days after trauma. The main cause of death was massive bleeding (34%), predominantly from the pelvic region (62% of all patients who died because of massive bleeding). Fifty-six percent of nonsurvivors and 43% of survivors were male. Nonsurvivors were characterized by a higher incidence of complex pelvic injuries (32% versus 8%), less isolated pelvic ring fractures (13% versus 49%), lower initial blood hemoglobin concentration (6.7 ± 2...Continue Reading

References

Jun 1, 1992·Acta Orthopaedica Scandinavica·B Ragnarsson, B Jacobsson
May 1, 1989·The Journal of Trauma·C AprahamianC Weitzel-DeVeas
May 1, 1996·The Journal of the American Academy of Orthopaedic Surgeons·M Tile
Jul 27, 2000·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·P KannusM Järvinen
Nov 24, 2001·Resuscitation·R J HadfieldA R Manara
Jun 1, 2002·The American Journal of Forensic Medicine and Pathology·Julie E AdamsC Bruce Alexander
Jul 13, 2002·Journal of the American College of Surgeons·Demetrios DemetriadesLinda Chan
Oct 31, 2002·Surgery·David P O'brienScott B Frame
May 14, 2003·Archives of Surgery·C Craig BlackmoreFrederick P Rivara
Feb 24, 2005·Der Unfallchirurg·U CulemannT Pohlemann
Jul 4, 2006·Injury·Charles M Court-Brown, Ben Caesar
Jul 25, 2006·American Journal of Surgery·Alan DurkinLewis Flint
Nov 13, 2007·The Journal of Trauma·Zsolt BaloghStephen A Deane
Dec 1, 2007·Injury·Mashkoor A ChoudhryIrshad H Chaudry
Dec 20, 2007·The Journal of Trauma·Peter V GiannoudisFiona Lecky
Feb 16, 2008·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Akira KidoToru Hoshida
Feb 28, 2008·The Journal of Trauma·Oliver HauschildHagen Schmal
Jun 12, 2008·The Journal of Trauma·John B KortbeekRobert Winter
Mar 20, 2010·Der Unfallchirurg·G TosounidisT Pohlemann
Sep 15, 2010·The Journal of Trauma·Lewis Flint, H Gill Cryer
Nov 3, 2010·The Journal of Bone and Joint Surgery. British Volume·H C GuthrieM D Bircher
Jan 19, 2011·Critical Care Medicine·Arasch WafaisadeUNKNOWN Trauma Registry of the German Society for Trauma Surgery

❮ Previous
Next ❯

Citations

Mar 19, 2013·BMC Medical Research Methodology·Markus BurkhardtUNKNOWN Pelvic Injury Register of the German Trauma Society
Jul 5, 2013·Orthopedics·Michael J BercikLuke Austin
Aug 7, 2016·Case Reports in Orthopedics·Rahul VaidyaLawrence N Diebel
Sep 30, 2016·AJR. American Journal of Roentgenology·David DreizinUttam K Bodanapally
Mar 2, 2016·Geriatric Orthopaedic Surgery & Rehabilitation·Leonard T BullerStephen M Quinnan
Aug 20, 2016·Aging Clinical and Experimental Research·Mika F RollmannTina Histing
Sep 7, 2018·The Journal of Trauma and Acute Care Surgery·Bryant W OliphantMark R Hemmila
Dec 27, 2018·Geriatrics & Gerontology International·Mika F RollmannTina Histing
Apr 14, 2016·Revista Brasileira De Ortopedia·Rodrigo Pereira GuimarãesGiancarlo Cavalli Polesello
Aug 28, 2015·The Open Orthopaedics Journal·Fatih Kucukdurmaz, Pouya Alijanipour
Feb 20, 2014·Der Unfallchirurg·U CulemannT Pohlemann
Mar 29, 2019·Critical Care : the Official Journal of the Critical Care Forum·Donat R SpahnRolf Rossaint
Sep 20, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Hohyun KimSeok Ran Yeom
Mar 12, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Hao WangNestor R Zenarosa
Mar 28, 2018·International Orthopaedics·Laura BlumCyril Mauffrey
Jan 29, 2020·World Journal of Emergency Surgery : WJES·Markus A KüperUNKNOWN Working Group on Pelvic Fractures of the German Trauma Society
Aug 31, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·U CulemannT Pohlemann
Oct 11, 2017·Journal of Orthopaedic Trauma·Dayley S KeilMadhav A Karunakar
Sep 19, 2018·Cardiovascular and Interventional Radiology·Diederik J WijffelsOtto M van Delden
May 24, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Andreas HöchUNKNOWN German Pelvic Trauma Registry
Jul 7, 2017·International Orthopaedics·Christian FangHans-Christoph Pape
Feb 9, 2018·The British Journal of Radiology·Narin UludagAnders Sundin
Oct 5, 2018·Bio-medical Materials and Engineering·Aili QuQiu'gen Wang
Mar 12, 2020·Annals of Surgical Treatment and Research·Hak-Jae LeeSuk-Kyung Hong
Aug 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M BurkhardtUNKNOWN TraumaRegister DGU
Jun 28, 2018·International Orthopaedics·Paul SchmitzMaximilian Kerschbaum
Jul 21, 2020·Emergency Radiology·Johannes Clemens GodtJohann Baptist Dormagen
Jul 28, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Robert BachmannMarkus A Küper
Jul 11, 2020·Journal of Orthopaedic Surgery and Research·Husham AbdelrahmanHassan Al-Thani
Sep 30, 2017·Journal of Surgical Case Reports·Olusegun M AyekoMichael O Ayeko
Jan 14, 2021·The American Journal of Emergency Medicine·Sarah N PierrieUNKNOWN Evidence-based Musculoskeletal Injury and Trauma Collaborative (EMIT)
Jul 21, 2021·Der Unfallchirurg·Marco Armbruster, Max Seidensticker
Apr 3, 2021·The Journal of Trauma and Acute Care Surgery·Alice Y WangNiels V Johnsen

❮ 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.