Patients with pelvic fractures from blunt trauma. What is the cause of mortality and when?
| Autor: | Fred Tonnos, Ian Hudson, Rahul Vaidya, Adam Jonathan Martin, Alesha N. Scott, Anil Sethi |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Autopsy Wounds Nonpenetrating Fractures Bone 03 medical and health sciences Injury Severity Score 0302 clinical medicine Risk Factors Cause of Death medicine Humans Pelvic Bones Aged Cause of death Aged 80 and over 030222 orthopedics business.industry Head injury 030208 emergency & critical care medicine General Medicine Emergency department Middle Aged medicine.disease Surgery Survival Rate Blunt trauma Pelvic fracture Female business Multiple organ dysfunction syndrome |
| Zdroj: | The American Journal of Surgery. 211:495-500 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2015.08.038 |
| Popis: | Mortality in patients sustaining pelvic fractures has been reported to be 4% to 15%. We sought to investigate the cause of death based on timing and evaluate if type of fracture and Injury Severity Score have an influence on the survival time.Sixty-nine patients of eight hundred sixty seven with a pelvic fracture who died during their hospital admission were included. Fractures were classified using the Arbeitsgemeinschaft Osteosynthesefragen/Orthopaedic Trauma Association system. Cause determined by autopsy in 48/69.The leading cause of death within 6 hours was abdominal and pelvic hemorrhage; 6 to 24 hours head injury, and greater than 24 hours multiple organ dysfunction syndrome. Survival time did not correlate between fracture type (P.12) or Injury Severity Score. Only 2 patients died of isolated pelvic hemorrhage.Despite the advances made in acute management of the traumatized patient in the emergency department, mortality is unavoidable in a small group of patients with hemorrhage being the commonest cause of early death but isolated pelvic hemorrhage rare. |
| Databáze: | OpenAIRE |
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