Document Detail


Pelvic fracture risk assessment on admission.
MedLine Citation:
PMID:  18705583     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with pelvic fractures (PF) have high incidences of associated injuries and mortality. To identify patients with PF at the highest risk for mortality on admission to a Level I trauma center, investigators analyzed 566 PF in 12,128 patients (1996 to 2005). PF were categorized on arrival as high risk (HR) or low risk (LR) by initial blood pressure, examination, radiographs, and CT. HR PF included open fractures, open-book injuries, PF 4 or greater abbreviated injury score, and hypotension (89 mmHg or less systolic blood pressure); all other cases were categorized as LR PF. Patients with PF had 6 per cent (35 of 566) mortality compared with 3 per cent (300 of 11,529) without PF. Mortality was 24 per cent (25 of 103) in HR PF, including 11 per cent (one of nine) of open fractures, 25 per cent (12 of 49) of open-book injuries, 23 per cent (14 of 62) of 4 or greater abbreviated injury score, and 33 per cent (20 of 60) of hypotensive patients compared with 3 per cent (13 of 454) of LR PF. Compared with LR PF, patients with HR PF were younger (43.5 vs 53.8 years) with higher injury severity scores (28.7 vs 11.9) and longer hospital stays (10.6 vs 7.4 days). PF mortality remains high despite treatment in a Level I trauma center. Trauma mechanism, initial blood pressure, pelvic radiography, and CT can be used to predict a patient's mortality risk.
Authors:
Om P Sharma; Michael F Oswanski; Jamal Rabbi; Gregory M Georgiadis; Sherry K Lauer; Heather A Stombaugh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  74     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-18     Completed Date:  2008-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  761-6     Citation Subset:  IM    
Affiliation:
Trauma Services, The Toledo Hospital & Toledo Children's Hospital, Toledo, Ohio, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Female
Fractures, Bone / classification,  diagnosis*,  mortality
Humans
Male
Middle Aged
Multiple Trauma / diagnosis*,  mortality
Pelvic Bones / injuries*
Risk Assessment / methods*
Trauma Severity Indices

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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