TS04 THE EPIDEMIOLOGY OF PELVIC FRACTURES: THE WHOLE PICTURE

作者：Peter Mackay, Kate Louise King, S. Mackenzie, Debra McDougall, Julie A. Evans, Zsolt Janos Balogh · 发表于：ANZ Journal of Surgery · 年份：2007 · DOI：10.1111/j.1445-2197.2007.04133_4.x · 被引用次数：1 · 研究领域：Pelvic and Acetabular Injuries、Hip and Femur Fractures、Pregnancy-related medical research

Purpose The comprehensive describtion of the epidemiology of pelvic ring fractures (PRF) including high‐energy PRF, low‐energy PRF and those who die during the prehospital phase (pre‐H). Methods 12‐month prospective population based study was performed in a trauma system with one Level‐1 trauma centre and seven referring hospitals (population: 0.6 million). Data were collected on all PRF from the trauma system including high‐energy, low energy fractures and pre‐H deaths with PRF. Patient demographics, injury severity score (ISS), mortality (%) and PRF‐related mortality were recorded prospectively. All high‐energy deaths had autopsy at the same forensic pathology department. Data presented as percentages (%) or mean +/− SEM. Results During the 12‐month period 138 patients suffered PRF (45% male, 59+/−2 years, ISS 20+/−2, 21% mortality and 8% PRF‐related mortality). Sixty‐four % of the low‐energy and 92% of the high‐energy patients were transferred directly to the trauma center. There were 57 high‐energy (71% male, 41+/−3 years, ISS 23+/−3, 14% mortality, 7% PRF‐related mortality) 63 low‐energy (20% male, 81+/−1 years, ISS 6+/−1, 5% mortality, 2% PRF‐related mortality) and 18 pre‐H died patients with PRF (47% male, 41+/−6 years, ISS 61+/−4, 100% mortality, 33% PRF‐related mortality). PRF‐related mortality was always due to bleeding. Conclusions The majority of PRF‐related mortality occurs pre‐H. Half of the multiple‐injured high‐energy PRF patients still die because of the pelv...