Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 1 de 1
Filter
Add more filters










Database
Language
Publication year range
1.
Injury ; 51(6): 1326-1330, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32305162

ABSTRACT

BACKGROUND: Pelvic fractures (PF) require high force mechanism and their severity have been linked with an increase in the incidence of associated injuries within the abdomen and chest. Our goal is to assess the impact of solid organ injury (SOI) on the outcome of patients with PF and to identify risk factors predictive of morbidity and mortality among these patients. STUDY DESIGN: We conducted a single-center retrospective review of medical records of patients 16 years or older admitted to our level 1 trauma center with pelvic fracture with and without OI associated from blunt trauma between 1/1/2010-7/31/2015. RESULTS: 979 patients with PF were identified. 261/979 (26.7%) had at least one associated SOI. The grade of the SOI ranged from I to III in 246 patients, grade IV in five patients and grade V in 10 patients with SOI sustained a higher pelvic AIS grade and required a statistically significant greater amount of blood products (BP). Thoracic and urogenital injuries were also more common. The mortality of patients with PF was not affected by the presence of SOI. Increasing age, Injury Severity Score, Glasgow Coma Scale, hypothermia and the amount of BP transfused were predictive of mortality. CONCLUSIONS: The presence of SOI did not affect the outcome of patients with pelvic fracture, although our results may be linked to the limited number of patients with high grade SOI. The degree of pelvic AIS is predictive of associated injuries within the abdomen and chest.


Subject(s)
Fractures, Bone/diagnosis , Injury Severity Score , Pelvic Bones/injuries , Wounds, Nonpenetrating/physiopathology , Adolescent , Adult , Aged , Blood Transfusion , Female , Fractures, Bone/mortality , Glasgow Coma Scale , Humans , Hypothermia/complications , Incidence , Logistic Models , Male , Middle Aged , Prognosis , Retrospective Studies , Risk Assessment , Risk Factors , Thoracic Injuries/complications , United States , Urogenital System/injuries , Wounds, Nonpenetrating/diagnosis , Young Adult
SELECTION OF CITATIONS
SEARCH DETAIL
...