Clinical features and risk factors for mortality in patients with open pelvic fracture: A retrospective study of 46 cases
| Autor: | Qing-Shan Guo, Zhi-Yang Zhang, Yang Li, Letian Zhang, Siru Zhou, Lian-Yang Zhang, Tomer Talmy, Huayu Liu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty China Adolescent Risk Assessment 03 medical and health sciences Fractures Open Young Adult 0302 clinical medicine Injury Severity Score lcsh:Orthopedic surgery Risk Factors Epidemiology medicine Humans In patient Risk factor Child Pelvic Bones Aged Retrospective Studies 030222 orthopedics Retrospective review business.industry 030208 emergency & critical care medicine Retrospective cohort study Middle Aged medicine.disease Prognosis lcsh:RD701-811 Current management Damage control surgery Emergency medicine Pelvic fracture Surgery Female business |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 28 (2020) |
| ISSN: | 2309-4990 |
| Popis: | 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) 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. |
| Databáze: | OpenAIRE |
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