Document Detail


Risk of pulmonary emboli in patients with pelvic fractures.
MedLine Citation:
PMID:  8338280     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multiply-injured patients with pelvic fractures are recognized to have an increased risk of deep venous thrombosis. The incidence of pulmonary emboli in patients with this injury has been reported to range from 0.5 to 8.3 per cent in several recent reviews. One hundred ninety-eight patients with pelvic fractures treated at a regional trauma center over a 3-year period were reviewed to evaluate the factors associated with an increased risk of clinically evident pulmonary embolism. The mean age SD was 44 24 years; 51 per cent were male, and mean Injury Severity Score (ISS) was 19 15. Eighteen patients (9%) died. Mortality was significantly correlated with ISS (P < 0.05), male sex, and type and severity of fracture but not with age, mechanism of injury, or operative fixation. Four patients (2.0%) had pulmonary emboli. The occurrence of clinically apparent pulmonary emboli correlated only with ISS (ISS < 15 = 0% vs ISS > 15 = 4%, P < 0.05). During the same time period, there were eight (0.2%) pulmonary emboli in 3337 trauma patients without pelvic fracture. This difference is highly significant (P < 0.0001). Pelvic fracture is indicative of severe injury and denotes a population at higher risk for pulmonary emboli than other trauma patients. Intensive screening and prophylactic measures to prevent deep venous thrombosis and subsequent pulmonary emboli should be intensively directed at this population.
Authors:
P M Buerger; J B Peoples; G W Lemmon; M C McCarthy
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  59     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-08-26     Completed Date:  1993-08-26     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  505-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Wright State University, Miami Valley Hospital, Dayton, Ohio.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Female
Fractures, Bone / complications*
Humans
Injury Severity Score
Length of Stay
Male
Middle Aged
Multiple Trauma
Pelvic Bones / injuries*
Pulmonary Embolism / etiology*
Retrospective Studies
Risk Factors
Sex Factors
Survival Rate
Thrombophlebitis / etiology
Wounds, Nonpenetrating

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


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