From: Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study
Stable (n = 716; 56.0%) | Unstable (n = 562; 44.0%) | P value | |
---|---|---|---|
Age (mean ± SD) years | 37.1 ± 15.5 | 30.9 ± 16.3 | 0.001 |
Males | 637 (89.0%) | 455 (81.0%) | 0.001 |
Associated injuries | |||
Chest | 247 (34.5%) | 300 (53.4%) | 0.001 |
Spine | 237 (33.1%) | 240 (42.7%) | 0.001 |
Abdomen | 194 (27.1%) | 251 (44.7%) | 0.001 |
Head | 106 (14.8%) | 151 (26.9%) | 0.001 |
Injury severity score (mean ± SD) | 13.9 ± 10.1 | 21.8 ± 14.2 | 0.001 |
Glasgow coma score at admission (mean ± SD) | 14.1 ± 2.9 | 12.2 ± 4.8 | 0.001 |
Revised trauma score (mean ± SD) | 7.6 ± 0.9 | 6.9 ± 1.6 | 0.001 |
Pelvis AIS (mean ± SD) | 2.3 ± 0.5 | 2.5 ± 0.8 | 0.001 |
Chest AIS (mean ± SD) | 2.7 ± 0.8 | 2.8 ± 0.8 | 0.02 |
Abdomen AIS (mean ± SD) | 2.4 ± 1.0 | 2.7 ± 1.0 | 0.01 |
TILE AO Müller classification (n= 913) | |||
Tile A | 322 (64.0%) | 208 (50.7%) | 0.001 for all |
Tile B | 141 (28.0%) | 133 (32.4%) | |
Tile C | 40 (8.0%) | 69 (16.8%) | |
Acetabulum fracture | 160 (22.3%) | 89 (15.8%) | 0.004 |
Blood transfusion | 176 (24.6%) | 354 (63.0%) | 0.001 |
Blood units (median, range) | 3 (1-38) | 6 (1-83) | 0.001 |
MTP blood units > 10 (n= 861) | 4 (0.9%) | 77 (19.6%) | 0.001 |
Intubation (n= 861) | 41 (8.7%) | 147 (37.5%) | 0.001 |
FAST positive (n= 812) | 26 (5.9%) | 62 (16.8%) | 0.001 |
Management (n= 1293) | |||
Conservative | 449 (62.7%) | 342 (60.9%) | 0.49 for all |
Surgical intervention | 267 (37.3%) | 220 (39.1%) | |
In-hospital complications | |||
Pneumonia | 25 (3.5%) | 80 (14.2%) | 0.001 |
Sepsis | 9 (1.3%) | 37 (6.6%) | 0.001 |
ARDS | 10 (1.4%) | 28 (5.0%) | 0.001 |
Acute kidney injury | 6 (0.8%) | 26 (4.6%) | 0.001 |
Deep vein thrombosis (n = 861) | 2 (0.4%) | 4 (1.0%) | 0.29 |
Pulmonary embolism (n = 861) | 2 (0.4%) | 2 (0.5%) | 0.85 |
Organ failure (n = 861) | 1 (0.2%) | 4 (1.0%) | 0.12 |
Ventilatory days (median, range) | 4 (1-49) | 7 (1-63) | 0.008 |
ICU length of stay (median, range) | 4 (1-71) | 6 (1-74) | 0.001 |
Hospital length of stay (median, range) | 13 (1-125) | 21 (1-505) | 0.001 |
Mortality | 10 (1.4%) | 51 (9.1%) | 0.001 |