Clinical features and risk factors for mortality in patients with open pelvic fracture: A retrospective study of 46 cases.
Background: This study aimed to investigate the clinical features, current management strategies, and outcomes of open pelvic fracture patients.Methods: We performed a retrospective review of data on patients with blunt trauma and open pelvic fractures admitted to our trauma center over a 5-year per...
| Publicado en: | Journal of Orthopaedic Surgery (10225536) Vol. 28; no. 2; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
Jan-Apr2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149381678&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149381678 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10225536 1CUK jtl: Journal of Orthopaedic Surgery (10225536) issn: 10225536 maglogo: Y pubinfo: dt: Jan-Apr2020 vid: 28 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 149381678 149381678 NLM32696709 149381678 10.1177/2309499020939830 NLM32696709 149381678 ppf: 1 ppct: 10 formats: tig: atl: Clinical features and risk factors for mortality in patients with open pelvic fracture: A retrospective study of 46 cases. aug: au: Qingshan Guo Letian Zhang Siru Zhou Zhiyang Zhang Huayu Liu Lianyang Zhang Talmy, Tomer Yang Li Guo, Qingshan Zhang, Letian Zhou, Siru Zhang, Zhiyang Liu, Huayu Zhang, Lianyang Li, Yang affil: State Key Laboratory of Trauma, Burns and Combined Injury, Medical Center of Trauma and War injury, Daping Hospital, Army Medical University, Chongqing, China. sug: subj: Risk Assessment Methods Fractures, Open Mortality Pelvic Bones Injuries Male Trauma Severity Indices Aged Adult Prognosis Child Adolescence Middle Age China Female Retrospective Design Risk Factors Human Young Adult Comparative Studies Multicenter Studies Evaluation Research Validation Studies Aged: 65+ years Adult: 19-44 years Child: 6-12 years Adolescent: 13-18 years Middle Aged: 45-64 years Male Female ab: Background: This study aimed to investigate the clinical features, current management strategies, and outcomes of open pelvic fracture patients.Methods: We performed a retrospective review of data on patients with blunt trauma and open pelvic fractures admitted to our trauma center over a 5-year period (January 2013 to December 2017). Demographic as well as clinical data including injury mechanism, injury severity score (ISS), fracture classifications, transfusion requirements, interventions, length of hospital and intensive care unit (ICU) stay, and prognosis were investigated. Univariate analysis and binary logistic regression were used to identify the risk variables of death. Finally, a brief literature review was performed to understand the current capacity of treatment and prognosis of this type of injury.Results: Forty-six patients (36 male and 10 female) were included in this study, mean age 43.2 ± 14.2 years. The overall mortality rate was 17.4%; 43.5% of the patients were hypotensive (systolic blood pressure (SBP) <90 mmHg) on arrival. The average ISS was 31.7 ± 6.7, and the average packed red blood cell (PRBC) transfusion during the first 24 h was 9.6 ± 7.4 units. Five patients (10.9%) underwent transcatheter arterial embolization in the early stage of management. The average hospital and ICU length of stay were 53.0 ± 37.6 days and 14.3 ± 15.3 days, respectively. Statistically significant differences were found in ISS, PRBC units received with the first 24 h, SBP, lactate and base excess on admission, and mechanism of injury when comparing between the death and the survival groups (p < 0.05). ISS and lactate on admission were found to be the independent risk factors for mortality.Conclusion: The mortality rate of open pelvic fractures remains high. ISS and lactate on admission were the independent risk factors for mortality. Optimization of the trauma care algorithms for early identification and treatment of this injury could be the key to decreasing mortality. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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