Pelvic fractures in blunt trauma patients: A comparative study

doi:10.5312/wjo.v15.i5.418

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

World J Orthop. May 18, 2024; 15(5): 418-434
Published online May 18, 2024. doi: 10.5312/wjo.v15.i5.418

Table 2 Comparison of non-geriatric and geriatric patients with pelvic fractures, n (%)

Variable	Non-Geriatric (n = 267)	Geriatric (n = 291)	P values
Age, mean	41.9	80.5	< 0.001^a
Sex (Female/Male)	109 (40.8) / 158 (59.2)	175 (60.1) / 116 (39.9)	< 0.001^a
Comorbidities	145 (54.3)	278 (95.5)	< 0.001^a
Anticoagulation	14 (5.2)	138 (47.4)	< 0.001^a
Mechanism of injury	-	-	< 0.001^a
Fall	48 (18.0)	156 (53.6)	-
Motor vehicle	211 (79.0)	133 (45.7)	-
Other	8 (3.0)	2 (0.7)	-
Glasgow coma scale, mean	12.9	14.3	< 0.001^a
Injury severity score, mean	17.5	14.0	< 0.001^a
AIS pelvis	-	-	0.01^a
2	170 (63.7)	216 (74.2)	-
3	39 (14.6)	23 (7.9)	-
4	41 (15.4)	43 (14.8)	-
5	17 (6.4)	9 (3.1)	-
Any blood transfusion	108 (40.4)	113 (38.8)	0.3
Co-injury types	-	-	-
Head	66 (24.7)	60 (20.6)	0.2
Spine	37 (13.9)	44 (15.1)	0.7
Thoracic	51 (19.1)	60 (20.6)	0.7
Abdominal	58 (21.7)	35 (12.0)	0.002^a
CT with contrast	247 (92.5)	201 (69.1)	< 0.001^a
Contrast blush	37 (15.0)	36 (17.9)	0.4
Pelvic angiogram	50 (18.7)	52 (17.9)	0.8
Pelvic embolization	30 (60.0)	31 (59.6)	0.9
Pelvic orthopedic surgery	58 (21.7)	16 (5.5)	< 0.001^a
Time: Admission to pelvic surgery, mean h	66.2	106.8	0.1
Exploratory laparotomy	44 (16.5)	20 (6.9)	< 0.001^a
ICU Admission	152 (56.9)	169 (58.1)	0.8
ICU length of stay, mean days	8.9	6.6	0.03^a
Hospital length of stay, mean days	14.5	7.7	< 0.001^a
Do not resuscitate order	12 (4.5)	65 (22.3)	< 0.001^a
Mortality	12 (4.5)	28 (9.6)	0.02^a
Hospital discharge disposition	-	-	< 0.001^a
Expired in hospital	8 (3.0)	6 (2.1)	-
Hospice	4 (1.5)	22 (7.6)	-
Long term care hospital	13 (4.9)	13 (4.5)	-
Skilled nursing facility	18 (6.7)	108 (37.1)	-
Rehabilitation facility	91 (34.1)	101 (34.7)	-
Home	133 (49.8)	41 (14.1)	-

^aP < 0.05.

AIS: Abbreviated injury scale; CT: Computed tomography; ICU: Intensive care unit.

Citation: Fokin AA, Wycech Knight J, Tharp ME, Brinton KC, Gallagher PK, Xie JF, Weisz RD, Puente I. Pelvic fractures in blunt trauma patients: A comparative study. World J Orthop 2024; 15(5): 418-434
URL: https://www.wjgnet.com/2218-5836/full/v15/i5/418.htm
DOI: https://dx.doi.org/10.5312/wjo.v15.i5.418