Long-term outcomes in open pelvic fractures.
Annual Meeting of the Trauma Association of Canada. Halifax, Nova Scotia (CAN), 1996/09/26.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0351725
Code Inist : 002B16H. Création : 12/09/1997.