Trends in Isolated Pelvic Fracture and 30-Day Survival during a Recent 15-Year Period: A Nationwide Study of the Japan Trauma Data Bank
| Autor: | Norihiro Kido, Takashi Tagami, Kiyoshi Matsuda, Chie Tanaka, Riko Maejima, Shoji Yokobori, Kosuke Otake, Akihiro Watanabe, Takahiro Kanaya, Toru Mochizuki |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Mortality rate Resuscitation Confounding Retrospective cohort study General Medicine medicine.disease Surgery External fixation Fractures Bone Japan Epidemiology Pelvic fracture Medicine Humans business Pelvic Bones Survival rate Generalized estimating equation Retrospective Studies |
| Zdroj: | Journal of Nippon Medical School = Nippon Ika Daigaku zasshi. 89(3) |
| ISSN: | 1347-3409 |
| Popis: | BackgroundThe epidemiology and treatment of isolated pelvic fracture is not well understood in Japan. This study aimed to evaluate epidemiological trends in isolated pelvic trauma and in-hospital survival rates over 15 years.MethodsThis retrospective cohort study analyzed data from the Japan Trauma Data Bank for 2004-2018. Patients of any age with isolated pelvic fracture were grouped according to time period: 2004-2008 (Phase 1), 2009-2013 (Phase 2), and 2014-2018 (Phase 3). The main outcome was 30-day in-hospital survival rate. The data were analyzed using chi-squared, Kruskal-Wallis, and Mantel-Haenszel trend tests. We analyzed changes in the main outcome over time in a multiple logistic regression analysis fitted with a generalized estimating equation, accounting for the within-cluster association.ResultsIn total, 5348 isolated pelvic fractures occurred during the study period. There was no significant between-phase difference in proportions of patients who underwent resuscitative balloon occlusion of the aorta or external fixation. The proportion of patients who underwent transcatheter arterial embolization increased year by year (p=0.003). There was a significant increase in the survival rate over time (Phase 1, 77%; Phase 2, 86%; and Phase 3, 91%; p |
| Databáze: | OpenAIRE |
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