What Are Predictors for Patients’ Quality of Life After Pelvic Ring Fractures?

Holstein, Joerg H.; Pizanis, A.; Köhler, Daniel; Pohlemann, Tim

doi:10.1007/s11999-013-2840-y

Cited by 27 publications

(39 citation statements)

References 19 publications

(30 reference statements)

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“…Data were collected and processed using a secured Internet interface hosted by a professional service provider (MEMDoc1; Institute for Evaluative Research in Medicine, Bern, Switzerland). [12][13][14] Descriptive analyses were carried out to show the demographic and clinical characteristics of the selected patients. To show significant differences between groups, the χ 2 -test or Fisher's exact test were carried out.…”

Section: Discussionmentioning

confidence: 99%

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In‐hospital mortality of pelvic ring fractures in older adults now and then: A pelvic registry study

Rollmann

Herath

Braun

et al. 2018

Geriatrics Gerontology Int

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Aim With the predicted demographic change, the treatment of geriatric patients will become a major issue for health systems worldwide. The majority of pelvic ring fractures occur in older adults, and their treatment might be associated with a distinct mortality. Herein, we analyzed the data of 5665 patients with pelvic ring fractures aged ≥60 years included in the German Pelvic Trauma Registry from 1991 to 2013. Methods The data were collected prospectively, multicentrically in hospitals participating in the German Pelvic Trauma Registry. Demographic data were retrospectively analyzed, stratified for age, sex, type of injury, mode of therapy, injury severity score (ISS) and mortality. Results The overall mortality decreased over the 22‐year study period from 9.3% to 3.8% (P < 0.05), whereas the median ISS significantly increased. During the observation period, mortality was higher in patients with type B and, particularly, type C fractures when compared with patients with type A fractures. Mortality rates of patients aged >80 years did not significantly differ from those aged >60 or >70 years. Male patients showed a significantly higher mortality compared with female patients, as well as a significantly higher median ISS. The mortality rate of patients with surgically‐treated type C fractures decreased over the study period from 35.7% to 6.9% (P < 0.05). Conclusions Over the past two decades, the mortality of older patients after pelvic ring fractures has significantly decreased. The higher overall mortality rate of male patients might mainly be accounted for by the relatively higher fraction of type C fractures and a higher ISS. Geriatr Gerontol Int 2019; 19: 24–29.

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Section: Discussionmentioning

confidence: 99%

“…Data were collected and processed using a secured Internet interface hosted by a professional service provider (MEMDoc1; Institute for Evaluative Research in Medicine, Bern, Switzerland) …”

Section: Methodsmentioning

confidence: 99%

In‐hospital mortality of pelvic ring fractures in older adults now and then: A pelvic registry study

Rollmann

Herath

Braun

et al. 2018

Geriatrics Gerontology Int

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“…Lediglich 10% der Patienten wiesen ein mangelhaftes Ergebnis auf. Grundsätz-lich ist die Lebensqualität nach operativer Frakturversorgung an Extremitäten und Stamm zu Anfang deutlich herabgesetzt [13,20,24,26,40,50], Tibiakopf-und Tibiaschaftfrakturen eingeschlossen [4,21,39]. Innerhalb von 2 Jahren kommt es zu einer Verbesserung [7,8,13,16,28,40], wobei jedoch Einschränkungen bei 58% der Patienten verbleiben [35] und auch noch 4 Jahre nach Frakturversorgung nachzuweisen sind [18].…”

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Lebensqualität und Arbeitsfähigkeit nach operativer Behandlung von Tibiakopffrakturen

et al. 2014

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The functional and the radiological results were moderate. Quality of life was permanently affected by the consequences of tibial plateau fracture in 12 patients; 11 patients were not re-employed. However, the quality of life was assessed as good or very good and 28 patients had returned to work. The quality of life was firmly linked to the radiological and functional parameters, which tended to be influenced by the quality of the primary surgical treatment when looking at the overall population.

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“…Dienstknecht et al [1] examine potential factors for predicting complications with extremity trauma surgery. Kleber et al [3] and Pfeifer et al [4], explore the role of inflammatory mediators in response to trauma. Three papers address topics relevant to the increasingly important topic of fractures in the elderly, and Holstein et al [2] examines factors that predict the quality of life after a pelvic fracture.…”

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confidence: 99%

Editorial Comment: Symposium: Tscherne Festschrift: Editorial Comment

Pape¹,

Vrahas

2013

Clinical Orthopaedics &Amp; Related Research

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Unlike the typical collection of papers generally arranged around a topic, this symposium is arranged around a man. In 1970, Professor Harald Tscherne became the director of the newly created trauma department at the Hannover Medical School [1]. At that time, few considered trauma a specialty, and the management of injured patients was often relegated to junior staff at inconvenient hours. Prehospital care systems were rudimentary at best, and few in medicine were thinking about injury prevention. Prof. Tscherne was quickly recognized as a leading thinker in the young and developing field. The Classic article for this issue [2], first published in 1971, presents concepts so familiar to us now as to seem like medical school text. Yet, they were unique at the time, and brought together basic science and clinical experience to establish the principles of modern trauma care. Through the course of his career, Prof. Tscherne made scholarly contributions across the spectrum of trauma from prevention to rehabilitation. Without question, his most important and lasting contributions have been as a leader and an educator. As such, every article in this collection is authored by a surgeon who spent some period of his or her training in Hannover during the Tscherne years.To visit Hannover Medical School during the Tscherne years was first to be inspired by its efficiency, but ultimately one came away impressed by the culture of innovation and scientific rigor. There are few major trauma centers in Europe and North America that do not begin their day with the Hannover tradition of morning report. Each morning, Prof. Tscherne reviewed the previous day's activity, with each class of trainees arranged from senior to junior behind the chief. Visitors, of which there were always many, were seated likewise with their colleaguesattendings in the front and visitors in the back. Given this first impression of military precision and discipline, it was natural to expect the chief to be close-minded and dogmatic, but this was not the case. He expected his trainees to become innovators in their own right and encouraged them to travel for training and to return to Hannover to become leaders in their focused field. Visitors were welcomed not just as students, but as potential sources of education and information. Prof. Tscherne was committed to developing the best and the brightest leaders and recognized the importance ideas and approaches not necessarily his own.

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What Are Predictors for Patients’ Quality of Life After Pelvic Ring Fractures?

Cited by 27 publications

References 19 publications

In‐hospital mortality of pelvic ring fractures in older adults now and then: A pelvic registry study

In‐hospital mortality of pelvic ring fractures in older adults now and then: A pelvic registry study

Lebensqualität und Arbeitsfähigkeit nach operativer Behandlung von Tibiakopffrakturen

Editorial Comment: Symposium: Tscherne Festschrift: Editorial Comment

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