Profile of geriatric pelvic fractures presenting to the emergency department

Alost, Terence; Waldrop, Ron D.

doi:10.1016/s0735-6757(97)90161-3

Cited by 53 publications

(28 citation statements)

References 5 publications

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“…Pelvic trauma was thus predictive of severity of injury (P < 0.05). e382 E. Hornez Mortality in the pelvic trauma group was 16%, similar to rates described in the literature which have ranged from 4.4 to 30% [5][6][7][8][9][10][11][12]. In the entire cohort, overall mortality was exactly the same (16%, 32/200) as in the group of pelvic trauma patients.…”

Section: Discussionsupporting

confidence: 78%

Management of exsanguinating pelvic trauma: Do we still need the radiologist?

Hornez

2011

Journal of Visceral Surgery

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This high mortality leads to reconsider the place of pelvic embolization as firstline treatment. Some major drawbacks are noted: its effectiveness in treating venous bleeding, availability and duration of the procedure. The preperitoneal packing is a fast and effective surgical alternative. It seems to improve hemodynamic status of patients and significantly reduce the use of embolization and massive transfusion. Embolization is still indicated for patients not responding to surgery. However survival is not significantly improved.

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Section: Discussionsupporting

confidence: 78%

Management of exsanguinating pelvic trauma: Do we still need the radiologist?

Hornez

2011

Journal of Visceral Surgery

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“…Elderly patients with pelvic fracture have the worst outcomes, and they succumb to their injuries more easily despite aggressive resuscitation [10, 28, 29]. Alost et al observed that exacerbation of the elderly’s premorbid condition is a contributory factor to mortality [30]. In our study, patients aged more than 65 years old had a higher risk of mortality at 67% compared to the younger counterparts (χ 2 test = 8.68, p = 003).…”

Section: Discussionmentioning

confidence: 50%

Patients with pelvic fracture: what factors are associated with mortality?

et al. 2010

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BackgroundPelvic fracture is one of the major injuries that lead to death in patients who sustain high-impact injuries such as road traffic accidents and falls from height.AimsThis study aims to look at the epidemiology and the significant predictors of mortality in victims with pelvic fracture presenting to the emergency department (ED) of an urban Asian city.MethodsThis was a retrospective data analysis of all trauma patients with pelvic fracture who were treated at the ED of an urban adult hospital in Singapore from April 2001 to December 2004. Student’s t-test and χ2 test were used in statistical analysis where appropriate.ResultsThe study included 179 consecutive patients. Sixty-four percent of patients were males, and 71% of patients were in the 20–49-year-old age group. Road traffic accidents and falls from height were the two most common mechanisms of injury. Mortality rate was 37%. Pelvic fracture severity, shock and coma at presentation, and the presence of concurrent head and chest injuries were associated with increased mortality. Gender, other mechanisms of injury and other concomitant injuries were not associated with increased mortality.ConclusionsThe mortality rate of trauma patients with pelvic fracture continues to be high. In such patients, predictors of mortality are the severity of the pelvic fracture, the presence of coma, shock, and head and chest injuries.

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“…They are lethal in 3% to 30% of cases and are associated with a high incidence of concomitant morbidity [3,13,15,21,27,48,52]. During the past decade, with enhanced understanding of the physiologic response to trauma and advances made in diagnostics, critical care medicine, and acute trauma management [5,23,26,57], an increased number (81%-90%) of injured patients with severe pelvic injuries survive [26,29,58].…”

Section: Introductionmentioning

confidence: 99%

Treatment and Outcomes of Pelvic Malunions and Nonunions: A Systematic Review

Kanakaris

Angoules

Nikolaou

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Although acute management of pelvic fractures and their long-term functional outcome have been widely documented, important information regarding malunion and nonunion of these fractures is sparse. Despite their relative rarity, malunions and nonunions cause disabling symptoms and have major socioeconomic implications. We analyzed the factors predisposing a pelvic injury to develop malunion/nonunion, the clinical presentation of these complications, and the efficacy of the reported operative protocols in 437 malunions/nonunions of 25 clinical studies. Treatment of these demanding complications appeared effective in the majority of the cases: overall union rates averaged 86.1%, pain relief as much as 93%, patient satisfaction 79%, and return to a preinjury level of activities 50%. Nevertheless, the patient should be informed about the incidence of perioperative complications, including neurologic injury (5

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Profile of geriatric pelvic fractures presenting to the emergency department

Cited by 53 publications

References 5 publications

Management of exsanguinating pelvic trauma: Do we still need the radiologist?

Management of exsanguinating pelvic trauma: Do we still need the radiologist?

Patients with pelvic fracture: what factors are associated with mortality?

Treatment and Outcomes of Pelvic Malunions and Nonunions: A Systematic Review

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