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) |
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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: |
05 Dec 2022 14:44 |
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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