Display options
Cite
Ooi CK, Goh HK, Tay SY, et al. Patients with pelvic fracture: what factors are associated with mortality?. Int J Emerg Med. 2010;3(4):299-304doi: 10.1007/s12245-010-0224-6.
Ooi, C. K., Goh, H. K., Tay, S. Y., & Phua, D. H. (2010). Patients with pelvic fracture: what factors are associated with mortality?. International journal of emergency medicine, 3(4), 299-304. https://doi.org/10.1007/s12245-010-0224-6
Ooi, Chee Kheong, et al. "Patients with pelvic fracture: what factors are associated with mortality?." International journal of emergency medicine vol. 3,4 (2010): 299-304. doi: https://doi.org/10.1007/s12245-010-0224-6
Ooi CK, Goh HK, Tay SY, Phua DH. Patients with pelvic fracture: what factors are associated with mortality?. Int J Emerg Med. 2010 Aug 31;3(4):299-304. doi: 10.1007/s12245-010-0224-6. PMID: 21373296; PMCID: PMC3047881.
Copy Download .nbib Format: NLM
Share it on

Int J Emerg Med. 2010 Aug 31;3(4):299-304. doi: 10.1007/s12245-010-0224-6.

Patients with pelvic fracture: what factors are associated with mortality?.

International journal of emergency medicine

Chee Kheong Ooi, Hsin K Goh, Seow Y Tay, Dong H Phua

Affiliations

  1. Department of Emergency Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433 Republic of Singapore.

PMID: 21373296 PMCID: PMC3047881 DOI: 10.1007/s12245-010-0224-6

Abstract

BACKGROUND: Pelvic fracture is one of the major injuries that lead to death in patients who sustain high-impact injuries such as road traffic accidents and falls from height.

AIMS: This study aims to look at the epidemiology and the significant predictors of mortality in victims with pelvic fracture presenting to the emergency department (ED) of an urban Asian city.

METHODS: This was a retrospective data analysis of all trauma patients with pelvic fracture who were treated at the ED of an urban adult hospital in Singapore from April 2001 to December 2004. Student's t-test and χ(2) test were used in statistical analysis where appropriate.

RESULTS: The study included 179 consecutive patients. Sixty-four percent of patients were males, and 71% of patients were in the 20-49-year-old age group. Road traffic accidents and falls from height were the two most common mechanisms of injury. Mortality rate was 37%. Pelvic fracture severity, shock and coma at presentation, and the presence of concurrent head and chest injuries were associated with increased mortality. Gender, other mechanisms of injury and other concomitant injuries were not associated with increased mortality.

CONCLUSIONS: The mortality rate of trauma patients with pelvic fracture continues to be high. In such patients, predictors of mortality are the severity of the pelvic fracture, the presence of coma, shock, and head and chest injuries.

Keywords: Injuries; Mortality; Pelvis; Risk factors; Singapore

References

  1. Injury. 2000 Nov;31(9):677-82 - PubMed
  2. Am J Surg. 2005 Dec;190(6):830-5 - PubMed
  3. J Trauma. 2007 Apr;62(4):834-9; discussion 839-42 - PubMed
  4. Injury. 2007 Mar;38(3):312-7 - PubMed
  5. J Orthop Trauma. 2003 Jul;17(6):406-10 - PubMed
  6. Int Surg. 1999 Jul-Sep;84(3):271-4 - PubMed
  7. Injury. 2009 Oct;40(10):1023-30 - PubMed
  8. J Bone Joint Surg Br. 2005 Apr;87(4):530-3 - PubMed
  9. J Trauma. 2002 Jul;53(1):15-20 - PubMed
  10. Am J Surg. 2006 Aug;192(2):211-23 - PubMed
  11. J Bone Joint Surg Br. 1991 Mar;73(2):325-9 - PubMed
  12. Iowa Orthop J. 1997;17:110-4 - PubMed
  13. J Trauma. 2006 Jul;61(1):21-30; discussion 30-1 - PubMed
  14. J Trauma. 2005 Feb;58(2):342-5 - PubMed
  15. Am J Emerg Med. 1997 Oct;15(6):576-8 - PubMed
  16. J Orthop Trauma. 1992;6(3):279-82 - PubMed
  17. Injury. 2007 May;38(5):598-606 - PubMed
  18. J Orthop Trauma. 2002 Sep;16(8):553-61 - PubMed
  19. Emerg Med J. 2007 Feb;24(2):130-3 - PubMed
  20. J Trauma. 1986 Aug;26(8):706-12 - PubMed
  21. Orthopedics. 1994 Aug;17(8):691-6 - PubMed
  22. Ann Surg. 1991 Jun;213(6):532-8; discussion 538-9 - PubMed
  23. Injury. 2008 Aug;39(8):881-8 - PubMed
  24. J Trauma. 1997 May;42(5):773-7 - PubMed
  25. Am Surg. 2009 Apr;75(4):291-5 - PubMed
  26. J Orthop Sci. 2008 Jan;13(1):21-4 - PubMed
  27. Injury. 2005 Jan;36(1):1-13 - PubMed
  28. Surgery. 2002 Oct;132(4):710-4; discussion 714-5 - PubMed

Publication Types