Rahul Vaidya1, Alesha N Scott2, Fred Tonnos2, Ian Hudson2, Adam J Martin2, Anil Sethi2. 1. 4G University Health Centre, Detroit Receiving Hospital, 4201 St. Antoine Blvd, Detroit, MI 48201, USA. Electronic address: rahvaidya2012@gmail.com. 2. 4G University Health Centre, Detroit Receiving Hospital, 4201 St. Antoine Blvd, Detroit, MI 48201, USA.
Abstract
BACKGROUND: Mortality in patients sustaining pelvic fractures has been reported to be 4% to 15%. We sought to investigate the cause of death based on timing and evaluate if type of fracture and Injury Severity Score have an influence on the survival time. METHODS: Sixty-nine patients of eight hundred sixty seven with a pelvic fracture who died during their hospital admission were included. Fractures were classified using the Arbeitsgemeinschaft Osteosynthesefragen/Orthopaedic Trauma Association system. Cause determined by autopsy in 48/69. RESULTS: The leading cause of death within 6 hours was abdominal and pelvic hemorrhage; 6 to 24 hours head injury, and greater than 24 hours multiple organ dysfunction syndrome. Survival time did not correlate between fracture type (P < .12) or Injury Severity Score. Only 2 patients died of isolated pelvic hemorrhage. CONCLUSIONS: Despite the advances made in acute management of the traumatized patient in the emergency department, mortality is unavoidable in a small group of patients with hemorrhage being the commonest cause of early death but isolated pelvic hemorrhage rare.
BACKGROUND: Mortality in patients sustaining pelvic fractures has been reported to be 4% to 15%. We sought to investigate the cause of death based on timing and evaluate if type of fracture and Injury Severity Score have an influence on the survival time. METHODS: Sixty-nine patients of eight hundred sixty seven with a pelvic fracture who died during their hospital admission were included. Fractures were classified using the Arbeitsgemeinschaft Osteosynthesefragen/Orthopaedic Trauma Association system. Cause determined by autopsy in 48/69. RESULTS: The leading cause of death within 6 hours was abdominal and pelvic hemorrhage; 6 to 24 hours head injury, and greater than 24 hours multiple organ dysfunction syndrome. Survival time did not correlate between fracture type (P < .12) or Injury Severity Score. Only 2 patients died of isolated pelvic hemorrhage. CONCLUSIONS: Despite the advances made in acute management of the traumatized patient in the emergency department, mortality is unavoidable in a small group of patients with hemorrhage being the commonest cause of early death but isolated pelvic hemorrhage rare.
Authors: Saud M Alfayez; Khalid Allimmia; Ahmad Alshammri; Firas Serro; Rakan Almogbel; Abdullah Bin Dous; Raed Almannie; Jesús Palencia Journal: Int J Surg Case Rep Date: 2016-10-03
Authors: Nishant Suneja; Eric H Tischler; Skye Lockwood; Adam J Wolfert; Daniel Martingano; Piyapa Praditpan; Thomas Lyon Journal: Case Rep Orthop Date: 2021-05-03