Complex pelvic traumas: Data linkage of the German Pelvic Injury Register and the TraumaRegister DGU®

Burkhardt, M; Nienaber, U; Krause, J; Pizanis, A; Moersdorf, P; Culemann, U; Aghayev, Emin; Paffrath, T; Pohlemann, T; Holstein, J H (2015). Complex pelvic traumas: Data linkage of the German Pelvic Injury Register and the TraumaRegister DGU®. Unfallchirurg, 118(11), pp. 957-962. Springer-Medizin-Verlag 10.1007/s00113-014-2565-8

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BACKGROUND Complex pelvic traumas, i.e., pelvic fractures accompanied by pelvic soft tissue injuries, still have an unacceptably high mortality rate of about 18 %. PATIENTS AND METHODS We retrospectively evaluated an intersection set of data from the TraumaRegister DGU® and the German Pelvic Injury Register from 2004-2009. Patients with complex and noncomplex pelvic traumas were compared regarding their vital parameters, emergency management, stay in the ICU, and outcome. RESULTS From a total of 344 patients with pelvic injuries, 21 % of patients had a complex and 79 % a noncomplex trauma. Complex traumas were significantly less likely to survive (16.7 % vs. 5.9 %). Whereas vital parameters and emergency treatment in the preclinical setting did not differ substantially, patients with complex traumas were more often in shock and showed acute traumatic coagulopathy on hospital arrival, which resulted in more fluid volumes and transfusions when compared to patients with noncomplex traumas. Furthermore, patients with complex traumas had more complications and longer ICU stays. CONCLUSION Prevention of exsanguination and complications like multiple organ dysfunction syndrome still pose a major challenge in the management of complex pelvic traumas.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery

UniBE Contributor:

Aghayev, Emin

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0177-5537

Publisher:

Springer-Medizin-Verlag

Language:

German

Submitter:

Ives Gerber

Date Deposited:

02 Apr 2015 10:59

Last Modified:

14 Jun 2016 16:31

Publisher DOI:

10.1007/s00113-014-2565-8

PubMed ID:

24695812

BORIS DOI:

10.7892/boris.65985

URI:

https://boris.unibe.ch/id/eprint/65985

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