The application of the WSES classification system for open pelvic fractures—validation and supplement from a nationwide data bank

Autor: Pei-Hua Li, Ting-An Hsu, Yu-Chi Kuo, Chih-Yuan Fu, Francesco Bajani, Marissa Bokhari, Justin Mis, Stathis Poulakidas, Faran Bokhari
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: World Journal of Emergency Surgery, Vol 17, Iss 1, Pp 1-9 (2022)
Druh dokumentu: article
ISSN: 1749-7922
DOI: 10.1186/s13017-022-00434-y
Popis: Abstract Background Open pelvic fractures are rare but complex injuries. Concomitant external and internal hemorrhage and wound infection-related sepsis result in a high mortality rate and treatment challenges. Here, we validated the World Society Emergency Society (WSES) classification system for pelvic injuries in open pelvic fractures, which are quite different from closed fractures, using the National Trauma Data Bank (NTDB). Methods Open pelvic fracture patients in the NTDB 2015 dataset were retrospectively queried. The mortality rates associated with WSES minor, moderate and severe injuries were compared. A multivariate logistic regression model (MLR) was used to evaluate independent factors of mortality. Patients with and without sepsis were compared. The performance of the WSES classification in the prediction of mortality was evaluated by determining the discrimination and calibration. Results A total of 830 open pelvic fracture patients were studied. The mortality rates of the mild, moderate and severe WSES classes were 3.5%, 11.2% and 23.8%, respectively (p
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