Tratamento da hemorragia da fratura pélvica em doente instável hemodinamicamente

Godinho, Maurício; D, Garcia; Parreira, José Gustavo; Fraga, Gustavo Pereira; Nascimento, Bartolomeu; Rizoli, Sandro

doi:10.1590/s0100-69912012000300014

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…Pelvic fractures are serious injuries and can lead to early and late death [1][2][3][4] . This study corroborates these findings, having found mortality greater than 20%.…”

Section: Discussionmentioning

confidence: 99%

“…In about 90% of the cases, there are other associated lesions, the prognosis relating mainly to the severity of these injuries [1][2][3][4] . The mortality in patients with pelvic fracture ranges from 4% to 15% in different studies.…”

Section: Introductionmentioning

confidence: 99%

“…Most pelvic fractures do not pose specific treatment challenges, are stable and do not carry a greater chance of retroperitoneal bleeding. However, in patients with complex and unstable fractures, retroperitoneal hemorrhage may be lethal 3,4 . Early fixation of the pelvis is essential to avoid pain, chronic deformities and to facilitate mobilization.…”

Section: Introductionmentioning

confidence: 99%

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Preditores de mortalidade em pacientes com fratura de pelve por trauma contuso

Correa

Batista

Júnior

et al. 2017

Rev. Col. Bras. Cir.

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RESUMO Objetivo: analisar a associação de mortalidade com variáveis sociodemográficas, clínicas, lesões e complicações em pacientes com trauma de pelve decorrente de trauma contuso. Métodos: estudo retrospectivo e observacional com dados de registro de trauma obtidos durante cinco anos. O óbito foi a variável de estratificação das análises. Para verificar se as variáveis de interesse tinham associação com o óbito, foi realizado o teste t de Student e teste do Qui-quadrado (ou Fisher) e Wilcoxon-Mann Whitney. Os fatores independentemente associados ao óbito foram analisados por modelo logístico binomial, e com base nos testes de Wald e por Critérios de Informação de Akaike (AIC) e Bayesiano de Schwarz (BIC). Resultados: dos 28 pacientes com fratura de pelve por trauma contuso, 23 (82,1%) eram homens; 16 (57,1%) com média de idade de 38,8 anos (desvio padrão 17,3). Houve 98 lesões ou fraturas nos 28 pacientes. Quanto à gravidade, sete pacientes tiveram Injury Severity Score superior a 24 (25%). O tempo de internação hospitalar médio foi 26,8 dias (DP=22,4). Quinze pacientes (53,6%) tiveram internação em UTI. A incidência de óbito foi de 21,4%. A análise mostrou que idade igual ou maior do que 50 anos e presença de coagulopatia foram fatores independentemente associados ao óbito. Conclusão: as fraturas de pelve podem ter mortalidade elevada. Neste estudo a mortalidade foi superior ao que é descrito na literatura. A idade acima de 50 anos e a coagulopatia se revelaram fatores de risco nessa população.

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“…Pelvic fractures are serious injuries and can lead to early and late death [1][2][3][4] . This study corroborates these findings, having found mortality greater than 20%.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preditores de mortalidade em pacientes com fratura de pelve por trauma contuso

Correa

Batista

Júnior

et al. 2017

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…In hemodynamic instability patients with pelvic bone fractures, treatment remains a major challenge for the surgeon. The trauma surgeon needs to decide between several therapeutic options that include: external fixation of the fracture of the pelvic ring bones, laparotomy to control intra-abdominal hemorrhage, angiography and embolization, preperitoneal pelvic packing, as well as control of bleeding in other sites such as exposed fractures and chest injury [3].…”

Section: Editorialmentioning

confidence: 99%

Agroecological Situation in Wintering Pastures in Azerbaijan, Problems and Solutions (in the Gobustan district)

Aliyev¹

2018

IGWHC

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High incidence of surgical site infection may be related to suboptimal case selection for non-selective arterial embolization during resuscitation of patients with pelvic fractures: a retrospective study

Lai

Tseng

et al. 2020

BMC Musculoskelet Disord

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Background: In most institutions, arterial embolization (AE) remains a standard procedure to achieve hemostasis during the resuscitation of patients with pelvic fractures. However, the actual benefits of AE are controversial. In this study, we aimed to explore AE-related outcomes following resuscitation at our center and to assess the predictive value of contrast extravasation (CE) during computed tomography (CT) for patients with hemodynamically unstable closed pelvic fractures. Methods: We retrospectively reviewed data from patients who were treated for closed pelvic fractures at a single center between 2014 and 2017. Data regarding the AE and clinical parameters were analyzed to determine whether poor outcomes could be predicted.

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Tratamento da hemorragia da fratura pélvica em doente instável hemodinamicamente

Cited by 3 publications

References 9 publications

Preditores de mortalidade em pacientes com fratura de pelve por trauma contuso

Preditores de mortalidade em pacientes com fratura de pelve por trauma contuso

Agroecological Situation in Wintering Pastures in Azerbaijan, Problems and Solutions (in the Gobustan district)

High incidence of surgical site infection may be related to suboptimal case selection for non-selective arterial embolization during resuscitation of patients with pelvic fractures: a retrospective study

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