Epidemiological investigation of pelvic fracture in 9 third-tier hospitals in 5 cities in Hunan / 中南大学学报(医学版)

ABSTRACT

OBJECTIVE@#To analyze the epidemiological characteristics and treatment situation of pelvic fractures in 5 cities in Hunan, improve the treatment and provide epidemiological data for policymakers.@*METHODS@#The clinical data of 65 patients with pelvic fractures were collected from 9 third-tier hospitals in Hunan from October 2012 to March 2013. The gender, age, cause, volume of blood transfusion, and prognosis were analyzed with SPSS 13.0.@*RESULTS@#There were 44 male and 21 female patients (2.101.00). The age ranged from11 to 86 years and 74.6% of the patients were between 20 and 59. The main cause was traffic injury (30 cases, 46.2%) and fall injury (22 cases, 33.8%). About 73.8% patients suffered associated injuries all over the body. By Tile's classification of pelvic fractures, the average blood transfusion of type A was 483.33 mL, that of type B was 1 026.92 mL and type C was 1 905.56 mL. Compared with type A, the treatment outcome of type C patients was worse.@*CONCLUSION@#Pelvic fractures are mostly caused in young and middle-aged males by high-energy. Tile C pelvic fractures need more blood transfusion and have poor prognosis. Patients had better be taken straight to municipal hospitals by expertise. Safety education for high-risk groups should be enhanced to reduce the incidence of pelvic fractures.