Update on the roles of angiography and embolisation in pelvic fracture (original) (raw)

Mortality in Patients With Pelvic Fractures: Results From the German Pelvic Injury Register

The Journal of Trauma: Injury, Infection, and Critical Care, 2008

Background: Pelvic and acetabular fractures are rare injuries and account for approximately 3% to 8% of all fractures. Often the result of high energy blunt trauma, most of the patients sustaining pelvic injuries are at high risk of associated injuries strongly influencing outcome and survival rates. Because of anatomic differences it has been suggested that pediatric pelvic fractures are different injuries as compared with that of adults. However, this has been controversially discussed. Aim of this multicenter register study was to identify similarities and differences between pediatric and adult pelvic trauma and evaluate the influence of changes in medical treatment by comparison of two treatment periods.

Patients with pelvic fracture: what factors are associated with mortality?

International Journal of Emergency Medicine, 2010

Background Pelvic fracture is one of the major injuries that lead to death in patients who sustain high-impact injuries such as road traffic accidents and falls from height. Aims This study aims to look at the epidemiology and the significant predictors of mortality in victims with pelvic fracture presenting to the emergency department (ED) of an urban Asian city. Methods This was a retrospective data analysis of all trauma patients with pelvic fracture who were treated at the ED of an urban adult hospital in Singapore from April 2001 to December 2004. Student's t-test and χ 2 test were used in statistical analysis where appropriate. Results The study included 179 consecutive patients. Sixtyfour percent of patients were males, and 71% of patients were in the 20-49-year-old age group. Road traffic accidents and falls from height were the two most common mechanisms of injury. Mortality rate was 37%. Pelvic fracture severity, shock and coma at presentation, and the presence of concurrent head and chest injuries were associated with increased mortality. Gender, other mechanisms of injury and other concomitant injuries were not associated with increased mortality. Conclusions The mortality rate of trauma patients with pelvic fracture continues to be high. In such patients, predictors of mortality are the severity of the pelvic fracture, the presence of coma, shock, and head and chest injuries.

Epidemiology of pelvic fractures in adults: Our experience at a tertiary hospital

Chinese Journal of Traumatology, 2019

Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty. Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India. Methods: A 16-month (between September 2015 and December 2016) prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital. Demography of patients, mechanism of injuries and complications were recorded prospectively. Results: We observed 75 patients who presented with pelvic fractures, where 56 were males and 19 were females. Mean age of the study population was 37.57 years. Road traffic accidents were the most common mode of injuries. Lateral compression injuries were the most common pattern. Associated injuries frequently encountered were lower extremities and acetabulum fractures, blunt abdominal trauma, urogenital injuries and head injuries. Out of the 75 patients, 52 were treated surgically and 23 were managed by conservative methods. Associated injuries of the extremities, head, abdomen and urogenital system indicated a longer hospital stay. Conclusion: Pelvic fractures, although belong to a relatively rare trauma subset, cause a high morbidity and mortality with considerable burden on the economy. Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.

What are Predictors of Mortality in Patients with Pelvic Fractures?

Clinical Orthopaedics and Related Research®, 2012

Background Our knowledge of factors influencing mortality of patients with pelvic ring injuries and the impact of associated injuries is currently based on limited information. Questions/purposes 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. Methods 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). Results 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). Fiftysix 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 ± 2.9 versus 9.8 ± 3.0 g/dL) and systolic arterial blood pressure (77 ± 27 versus 106 ± 24 mmHg), and higher injury severity score (ISS) (35 ± 16 versus 15 ± 12). Conclusion Patients with pelvic fractures who did not survive were characterized by male gender, severe multiple trauma, and major hemorrhage. Level of Evidence Level III, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

TS04 THE EPIDEMIOLOGY OF PELVIC FRACTURES: THE WHOLE PICTURE

ANZ Journal of Surgery, 2007

The single vehicle rollover accident is a highly complex crash mode and there is growing concerns about its incidents and consequences in central Australia. The aim of this paper is to assess: 1 The incidence and injury patterns of rollover accidents 2 Pre rollover characteristics on rollover propensity 3 The injury severity and outcome of rollover accidents The absence of speed limit, unfenced roads, vast distances traveled, unsealed roads and high use of alcohol makes the spectrum of MVA' s in NT unique.

Prevalence of Pelvic Fractures, Associated Injuries, and Mortality: The United Kingdom Perspective

The Journal of Trauma: Injury, Infection, and Critical Care, 2007

Background: We wished to determine the characteristics of patients with pelvic ring fractures (PGs) in England and Wales, make comparisons to major trauma patients without pelvic injury (NPGs), and determine factors predicting mortality, including the impact of presence of pelvic reconstruction facilities in the receiving hospitals on outcome.

Incidence of pelvic fractures in Finland in 1988

Acta Orthopaedica, 1995

In half of the cases the mechanism of injury was were registered in Finnish hospitals for primary a fall and in one quarter a traffic accident. Slightly treatment. The overall incidence in women was more than half of the cases were stable and half of 29/105 and in men 20/105. The female to male ratio the cases were of moderate severity. The average was 2.9 in patients who were over 49 years of age, length of hospital stay varied from 17 days in men to while in younger age groups the ratio was 0.5. Half 21 days in women. of the cases were pubic fractures. _ _ _~ ~ _~ Institution, Helsinki, 50tthopedic Hospital of the Invalid Foundation, Helsinki, Finland. Submitted 94-05-1 2. Accepted 95-02-20 Copyright 0 Scandinavian University Press 1995. ISSN 00014470. Printed in Sweden -all rights reserved. Acta Orthop Downloaded from informahealthcare.com by 80.223.16.218 on 03/10/15 For personal use only.

The epidemiology of pelvic fractures in the Mersey Region

Injury, 1994

The Mersey Region Trauma Survey was performed over 12 months in 1989 and 1990 to study the epidemiology of trauma in a population of 3 200 000. AfI deaths from injuries, and all survivors with an injury severity score of 15 or over were included, giving a total of 1088 cases. This paper, primarily epidemiological, considers those victims with a pelvicfracture (153 patients), andespecially fhose who reached hospital alive (I I I patients). The epidemiology, hospital care and mortality are considered, but the specijc management of individual fractures is not.