What are Predictors of Mortality in Patients with Pelvic Fractures?

Holstein, Joerg H.; Culemann, Ulf; Pohlemann, Tim

doi:10.1007/s11999-012-2276-9

Cited by 122 publications

(109 citation statements)

References 30 publications

(47 reference statements)

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“…Among other reasons this fact might be caused by a high, early blood loss. Holstein et al were able to show that more than 60% of the deaths after pelvic ring fractures can be attributed to excessive blood loss (7). This is in accordance with our results, where higher early bleeding volumes correlated to increased mortality.…”

Section: Discussionsupporting

confidence: 93%

Blood loss in pelvic ring fractures: CT-based estimation

et al. 2016

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Background:The main cause of mortality after pelvic ring fractures is the acute haemorrhagic shock. The aim of the study was to estimate blood loss using CT and to correlate estimated blood loss to the mortality.Methods: A retrospective analysis of 42 patients with AO/OTA C-type pelvic ring fractures was performed.In total 29 AO/OTA C1-type, 4 C2-type and 9 C3-type fractures were analysed. A CT-volumetric analysis was developed to estimate the early blood loss in the different compartments. The results were correlated to the mortality of the patients.Results: Significant increases in interstitial free blood volume (392±502.8 vs. 888±663; P<0.05) and total blood loss (476±535 vs. 1,005±649; P<0.05) were seen when comparing C1 to C3-type fractures. Early blood loss significantly correlated to mortality. No significant difference was seen between all groups with respect to systolic blood pressure, haemoglobin concentration and the Injury Severity Score (ISS). Conclusions:In pelvic ring fractures the CT-estimated blood loss correlates to mortality.

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Section: Discussionsupporting

confidence: 93%

Blood loss in pelvic ring fractures: CT-based estimation

et al. 2016

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“…From the German Pelvic Trauma Registry [11,19], we identified 1479 patients with pelvic ring fractures admitted between February 3, 2004, andMay 11, 2011, to four German university hospitals, all of which had Level I trauma centers according to the classification of the American College of Surgery [1] and the German Trauma Society [23]. Each institution committed to include every inpatient with a pelvic fracture in the registry.…”

Section: Methodsmentioning

confidence: 99%

“…Data were collected and processed using a secured Internet interface hosted by a professional service provider (MEMDoc 1 ; Institute for Evaluative Research in Medicine, Bern, Switzerland) [9,11]. Demographic data and parameters indicating the pattern and severity of injuries were extracted from the basic dataset of the German Pelvic Trauma Registry [11,19].…”

Section: Methodsmentioning

confidence: 99%

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

Holstein

Pizanis

Köhler

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Data from literature on predictors for patients' quality of life after pelvic ring fractures are conflicting and based on small study populations. Questions/purposes We therefore evaluated predictors for health-related quality of life in patients with pelvic ring injuries at a minimum of 1 year postfracture. Methods We surveyed 172 patients of the German Pelvic Trauma Registry admitted to four medical centers between February 3, 2004, and May 11, 2011. The median age of the followup cohort was 47 years (range, 8-88 years); 69 of 172 (40%) patients were female. Patients were characterized by a median Injury Severity Score of 17. There were 31 Tile Type A fractures (18%), 77 Type B fractures (45%), and 64 Type C fractures (37%). The incidence of complex fractures and multiple traumas was 34 of 172 (20%) and 116 of 172 (67%), respectively. One hundred twenty-five (73%) patients were treated operatively. We obtained the EQ-5D TM score to assess patients' healthrelated quality of life. For the analysis of predictors for quality of life, a multivariate linear regression model was built. The median followup was 3 years (range, 1-6 years). Results The median EQ-5DTM score was 0.78 (interquartile limits, 0.63 and 1.00). Age, complex trauma, and surgery independently predicted the EQ-5D TM score. Conclusions We conclude patients with higher age, complex trauma, and surgery had a higher likelihood for a reduced quality of life after pelvic ring injuries. Level of Evidence Level III, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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“…Ist jedoch die Beckenringfraktur mit einem Weichteilschaden (Gefäß, Nerven, Urogenitaltrakt) im oder am Becken kombiniert, steigt die Zahl der betroffenen Patienten mit einem sog. komplexen Beckentrauma deutlich auf 15-20 % an [8,10,11].…”

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What are Predictors of Mortality in Patients with Pelvic Fractures?

Cited by 122 publications

References 30 publications

Blood loss in pelvic ring fractures: CT-based estimation

Blood loss in pelvic ring fractures: CT-based estimation

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

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