From: Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study
Tile A (n = 745; 60.7%) | Tile B (n = 361; 29.4%) | Tile C (n = 122; 9.9%) | P value | |
---|---|---|---|---|
Age (mean ± SD) years | 41.5 ± 21.7 | 38.8 ± 19.6 | 36.1 ± 14.9 | 0.009 |
Males | 553 (74.3%) | 270 (74.8%) | 100 (82.0%) | 0.18 |
Mechanism of injury | ||||
Fall from height | 250 (33.6%) | 118 (32.7%) | 40 (32.8%) | 0.001 for all |
Motor vehicle crashes | 192 (25.8%) | 104 (28.8%) | 31 (25.4%) | |
Pedestrian hit | 248 (33.3%) | 92 (25.5%) | 27 (22.1%) | |
Hit by a falling object | 32 (4.3%) | 39 (10.8%) | 21 (17.2%) | |
Others | 23 (3.1%) | 8 (2.2%) | 3 (2.5%) | |
Associated injuries | ||||
Chest | 249 (33.4%) | 130 (36.0%) | 55 (45.1%) | 0.04 |
Spine | 236 (31.7%) | 115 (31.9%) | 64 (52.5%) | 0.001 |
Abdomen | 182 (24.4%) | 134 (37.1%) | 68 (55.7%) | 0.001 |
Head | 131 (17.6%) | 70 (19.4%) | 26 (21.3%) | 0.53 |
Lower extremity | 207 (27.8%) | 91 (25.2%) | 36 (29.5%) | 0.55 |
Upper extremity | 170 (22.8%) | 93 (25.8%) | 39 (32.0%) | 0.07 |
Injury severity score (mean ± SD) | 13.7 ± 10.7 | 16.9 ± 11.6 | 23.7 ± 15.3 | 0.001 |
Glasgow coma score at admission (mean ± SD) (n= 1017) | 13.7 ± 3.5 | 13.0 ± 4.2 | 12.8 ± 4.2 | 0.01 |
Revised trauma score (mean ± SD) (n= 874) | 7.4 ± 1.2 | 7.2 ± 1.4 | 6.9 ± 1.7 | 0.004 |
Pelvis AIS (mean ± SD) | 2.1 ± 0.4 | 2.5 ± 0.7 | 2.9 ± 1.0 | 0.001 |
Chest AIS (mean ± SD) (n= 434) | 2.7 ± 0.8 | 2.8 ± 0.8 | 3.0 ± 0.9 | 0.04 |
Abdomen AIS (mean ± SD) (n= 384) | 2.5 ± 1.1 | 2.4 ± 0.8 | 2.7 ± 1.0 | 0.30 |
Patients required blood transfusion | 187 (25.1%) | 146 (40.4%) | 88 (72.1%) | 0.001 |
Blood units transfused (median, range) | 4 (1–83) | 6 (1–48) | 8 (1–55) | 0.008 |
MTP (blood units > 10) (n= 629) | 33 (7.5%) | 19 (16.4%) | 26 (35.6%) | 0.001 |
Intubation (n= 629) | 85 (19.3%) | 37 (31.9%) | 32 (43.8%) | 0.001 |
FAST positive (n= 591) | 44 (10.8%) | 19 (16.7%) | 13 (19.1%) | 0.06 |
Shock Index (n= 913) | ||||
< 0.8 | 326 (61.5%) | 145 (52.9%) | 42 (38.5%) | 0.001 for all |
≥ 0.8 | 204 (38.5%) | 129 (47.1%) | 67 (61.5%) | |
Management | ||||
Conservative | 573 (76.9%) | 259 (71.7%) | 65 (53.3%) | 0.001 for all |
Surgical intervention | 172 (23.1%) | 102 (28.3%) | 57 (46.7%) | |
In-hospital complications | ||||
Pneumonia | 35 (4.7%) | 34 (9.4%) | 9 (7.4%) | 0.01 |
Sepsis | 13 (1.7%) | 18 (5.0%) | 7 (5.7%) | 0.003 |
ARDS | 8 (1.1%) | 8 (2.2%) | 9 (7.4%) | 0.001 |
Acute kidney injury | 9 (1.2%) | 6 (1.7%) | 11 (9.0%) | 0.001 |
Deep vein thrombosis (n = 629) | 3 (0.7%) | 0 (0.0%) | 3 (4.1%) | 0.01 |
Pulmonary embolism (n = 629) | 2 (0.5%) | 0 (0.0%) | 1 (1.4%) | 0.40 |
Organ failure (n = 629) | 1 (0.2%) | 1 (0.9%) | 2 (2.7%) | 0.04 |
Ventilatory days (median, range) | 6 (1–53) | 5.5 (1–63) | 8 (1–49) | 0.91 |
ICU length of stay (median, range) | 4 (1–71) | 5 (1–74) | 5 (1–61) | 0.62 |
Hospital length of stay (median, range) | 11 (1–505) | 18 (1–257) | 28 (1–165) | 0.001 |
Mortality | 24 (3.2%) | 17 (4.7%) | 16 (13.1%) | 0.001 |