Mortality in Patients With Pelvic Fractures: Results From the German Pelvic Injury Register

Abstract

The survival rate of patients sustaining pelvic fracture has improved significantly within the last decade. Most deaths in patients with pelvic fractures are not caused by the pelvic fracture itself but are linked to associated injuries. Despite anatomic and epidemiologic differences there are significant similarities between pediatric and adult patients with pelvic injuries and the mortality rate of children is not different from that of adults.

What are Predictors of Mortality in Patients with Pelvic Fractures?

“…We identified the most frequent causes and time points of death in patients with pelvic ring fractures who did not survive. The mortality rate of our study population was 4%, lower than mortality rates reported by most previous studies [1, 5,6,14,15,20,21,25,27,35,36,38]. This reduction of mortality might be explained by constant progresses in the early treatment of pelvic ring injuries, including immediate mechanical stabilization of the pelvic ring and improved bleeding control techniques, but also by progresses in intensive care medicine and emergency management of multiple traumas [17,46].…”

Acute Complications of Patients With Pelvic Fractures After Pelvic Angiographic Embolization

“…Our pelvic fracture patient population had an overall mortality of 13.8%, similar to previously published mortality rates of 14.2% and 13.4%. [1,3,5]. The higher mortality rate observed in patients treated with an angiographic procedure is probably the result of increased injury severity seen in this population.…”

Preperitoneal Pelvic Packing: How and When

“…The most recent evaluation for a single institution's experience with PPP reported a mortality rate of 21 % [6]; this is a markedly lower mortality rate compared to modern series [8,9,[41][42][43][44]. PPP will quell ongoing bleeding to allow adequate time for any necessary angiography/embolization, or assessment and treatment of associated injuries.…”