The mortality of patients with minor fractures of the pelvis

Spencer, J. D.; Lalanadham, T.

doi:10.1016/0020-1383(85)90136-6

Cited by 27 publications

(15 citation statements)

References 3 publications

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“…Their prognosis has been assumed to be excellent. There are, however, a few studies which report considerable 1-year mortality after pelvic fractures which ranges from 12% to 33% [7][8][9]. The baseline mortality in this age group, however, is high, and a large part of the fracture-mortality association may be related to underlying comorbidities.…”

Section: Introductionmentioning

confidence: 99%

Excess mortality after pelvic fractures in institutionalized older people

et al. 2010

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Section: Introductionmentioning

confidence: 99%

Excess mortality after pelvic fractures in institutionalized older people

et al. 2010

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“…On the other hand, Spencer and Lalanadham reported as early as in 1985 that they found at a postmortem examination of a patient, with radiological minor fractures of the pelvis, a marked distension of the soft tissues surrounding the fracture site caused by haematoma. The blood loss amounted to approximately 1 l [14]. Coupe et al [6] found as much as 3 l of clotted blood in the lower abdomen.…”

Section: Discussionmentioning

confidence: 96%

“…Even though considered a benign trauma, current studies revealed that these fractures account for mortality and morbidity [4,13,14]. Taillandier et al [13] found that 50 % of patients did not recover their level of self-sufficiency before trauma and 25 % had to be institutionalized.…”

Section: Discussionmentioning

confidence: 99%

Haemorrhage in fragility fractures of the pelvis

Dietz

Hofmann

Rommens

2014

Eur J Trauma Emerg Surg

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“…Montgomery et al [8] have reported proximal DVT rates as high as 35% when using magnetic resonance venography to screen their patients. In the literature, symptomatic PE and fatal PE rates vary from 2 to 10% and 0.5 to 2%, respectively [1][2][3][4]. Forty-seven percent of the units we surveyed had no defined mechanism in place to collect the rates of thrombotic events.…”

Section: Discussionmentioning

confidence: 99%

“…Following pelvic trauma the incidence of deep vein thrombosis (DVT) varies between 35% and 61% [1,2], with the incidence of proximal DVT between 25% and 35% [1][2][3][4]. More importantly the risk of symptomatic pulmonary embolism (PE) is between 2% and 10% with the risk of fatal PE as high as 2% [1][2][3][4]. Most tertiary referral centres in the United Kingdom would therefore experience about ten symptomatic PE's and up to two fatal PE's per year.…”

Section: Introductionmentioning

confidence: 99%

Thrombo-prophylaxis in pelvic and acetabular trauma patients: a UK consensus?

Guryel

Pearce

Rickman

et al. 2011

International Orthopaedics (SICOT)

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Aims The incidence of deep vein thrombosis, non-fatal pulmonary embolism and fatal pulmonary embolism may be as high as 61%, 10% and 2%, respectively, in patients with pelvic and acetabular injuries. A survey of the pelvic and acetabular units across the United Kingdom was performed to ascertain the thrombo-prophylaxis policy for these patients. In particular, questions were asked about different regimes on post-operative patients, conservatively managed patients and those simply discussed over the telephone. We enquired about their known rates of DVT and PE and their methods of data collection. Methods Postal questionnaires were sent to 22 pelvic and acetabular trauma centres around the United Kingdom. Results Replies from 18 units were received in which a total of 837 operations are performed per year. Forty-five percent of pelvic and acetabular units do not routinely prescribe chemical prophylaxis for post-operative patients and 56% do not prescribe prophylaxis for conservatively managed patients. The policy of the remaining units showed no consistency in duration or agent. Fifty-three percent of units use a database to collect information related to the numbers of patients operated up on. Forty-seven percent have no defined method for collecting DVT and PE numbers. For this reason, reported rates of proximal DVT, non-fatal PE and fatal PE were below that expected at 2.5%, 0.8% and 0.1%, respectively. Conclusions Despite high rates of thrombo-embolic complications in patients with pelvic and acetabular injuries there is no UK consensus on prescribing prophylaxis.

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The mortality of patients with minor fractures of the pelvis

Cited by 27 publications

References 3 publications

Excess mortality after pelvic fractures in institutionalized older people

Excess mortality after pelvic fractures in institutionalized older people

Haemorrhage in fragility fractures of the pelvis

Thrombo-prophylaxis in pelvic and acetabular trauma patients: a UK consensus?

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