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  1. Long-term outcomes in open pelvic fractures.

    Article, Communication - En anglais

    Annual Meeting of the Trauma Association of Canada. Halifax, Nova Scotia (CAN), 1996/09/26.

    Background 

    Open pelvic fractures represent one of the most devastating injuries in orthopedic trauma.

    The purpose of this study was to document the injury characteristics, complications, mortality, and long-term, health-related quality of life outcomes in patients with open pelvic fractures.

    Methods 

    The trauma registry at an adult trauma center was used to identify all multiple system blunt trauma patients with a pelvic fracture from January of 1987 to August of 1995 (n=1,179).

    Demographic data, mechanism of injury, and fracture type were determined from hospital records.

    Short-term outcome measures included infectious complications, mortality, and length of stay in hospital.

    Long-term outcomes of survivors were obtained by telephone interview using the SF-36 Health Survey and the Functional Independence Measure.

    Results 

    Open pelvic fractures were uncommon, occurring in 44 patients (4%). Patients with open fractures were about 9 years younger, on average, than patients with closed fractures (30 vs. 39, p<0.001).

    Similarly, patients with open fractures were more likely to be male (75 vs. 57%, p<0.02), more likely to have been involved in a motorcycle crash (27 vs. 6%, p<0.001), and more likely to have an unstable pelvic ring disruption (45 vs. 25%, p<0.001).

    Open pelvic fracture patients required more blood than closed pelvic fracture patients, both in the first day (16 vs. 4 units, p<0.001) and during the total hospital admission (29 vs. 9 units, p<0.001). (...)

    Mots-clés Pascal : Traumatisme, Rachis, Os bassin, Fracture ouverte, Caractérisation, Complication, Mortalité, Evolution, Long terme, Qualité vie, Article synthèse, Homme, Système ostéoarticulaire pathologie, Rachis pathologie

    Mots-clés Pascal anglais : Trauma, Spine, Pelvis bone, Open fracture, Characterization, Complication, Mortality, Evolution, Long term, Quality of life, Review, Human, Diseases of the osteoarticular system, Spine disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0351725

    Code Inist : 002B16H. Création : 12/09/1997.