From: Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study
Variables | Value |
---|---|
Age (mean ± SD) years | 41.2 ± 21.1 |
Males | 1387 (76.5%) |
Females | 426 (23.5%) |
Mechanism of injury | |
Fall from height | 595 (32.8%) |
Motor vehicle crashes | 506 (27.9%) |
Pedestrian hit | 508 (28.0%) |
All-terrain vehicle crashes | 28 (1.5%) |
Motorcycle crashes | 16 (0.9%) |
Bicycle crashes | 11 (0.6%) |
Hit by a falling object | 119 (6.6%) |
Self-inflicted injuries | 10 (0.6%) |
Others | 21 (1.2%) |
Associated injuries | |
Chest | 677 (37.3%) |
Spine | 573 (31.6%) |
Abdomen | 497 (27.4%) |
Head | 330 (18.2%) |
Lower extremity | 462 (25.5%) |
Upper extremity | 487 (26.8%) |
Glasgow coma score at admission (mean ± SD) (n= 1466) | 13.3 ± 3.9 |
Injury severity score (mean ± SD) | 16.5 ± 13.3 |
Revised trauma score (mean ± SD) (n= 1200) | 7.23 ± 1.38 |
Pelvis AIS (mean ± SD) | 2.4 ± 0.7 |
Head AIS (mean ± SD) | 3.3 ± 1.3 |
Chest AIS (mean ± SD) | 2.8 ± 0.8 |
Abdomen AIS (mean ± SD) | 2.7 ± 1.1 |
SBP at ED (n= 1295) (mean ± SD) | 120.2 ± 21.7 |
DBP at ED (n= 1221) (mean ± SD) | 73.1 ± 15.8 |
Pulse rate at ED (mean ± SD) (n = 1306) | 95.8 ± 23.1 |
Oxygen saturation at ED (mean ± SD) (n = 1282) | 97.7 ± 6.3 |
Respiratory rate at ED (mean ± SD) (n = 1208) | 19.5 ± 4.5 |
Hemodynamic instability | 562 (44.0%) |
ED disposition (n = 1806) | |
Admission to intensive care unit | 398 (22.0%) |
Operating room | 342 (18.9%) |
In-hospital wards | 1061 (58.7%) |
High dependency unit | 5 (0.3%) |
Number of blood units transfused (median, range) | 6 (1–122) |
Patients required blood transfusion | 625 (34.5%) |
Massive transfusion (n= 885) | 94 (10.6%) |
Endotracheal intubation (n= 885) | 203 (22.9%) |
FAST positive (n= 833) | 92 (11.0%) |
Management (n= 1829) | |
Conservative management | 1172 (64.6%) |
Surgical intervention* | 642 (35.4%) |
In-hospital complications | |
Pneumonia | 118 (6.5%) |
Sepsis | 57 (3.2%) |
Acute respiratory distress syndrome (ARDS) | 54 (3.0%) |
Acute kidney injury (AKI) | 44 (2.4%) |
Deep vein thrombosis (n = 885) | 7 (0.8%) |
Pulmonary embolism (n = 885) | 4 (0.5%) |
Multiorgan failure (n = 885) | 6 (0.7%) |
Needed mechanical ventilation (median, range) days | 5 (1–63) |
Intensive care unit length of stay (median, range) | 5 (1–74) |
Hospital length of stay (median, range) | 15 (1–505) |
Mortality | 86 (4.7%) |