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 3 Comparison of propensity score matched by abbreviated injury score of pelvis and mechanism of injury non-geriatric and geriatric patients with pelvic fractures, n (%)

Variable	Non-geriatric (n = 183)	Geriatric (n = 183)	P value
Mechanism of injury	-	-	0.8
Fall	48 (26.2)	48 (26.2)	-
Motor vehicle	134 (73.2)	133 (72.7)	-
Other	1 (0.5)	2 (1.1)	-
AIS pelvis	-	-	0.9
2	124 (67.8)	127 (69.4)	-
3	21 (11.5)	17 (9.3)	-
4	29 (15.8)	30 (16.4)	-
5	9 (4.9)	9 (4.9)	-
Age, mean	42.8	78.8	< 0.001^a
Sex (Female/Male)	75 (41.0)/108 (59.0)	105 (57.9)/77 (42.1)	0.001^a
Comorbidities	99 (54.1)	172 (94.0)	< 0.001^a
Anticoagulation	10 (5.5)	81 (44.3)	< 0.001^a
Glasgow coma scale, mean	12.9	14.0	0.002^a
Injury severity score, mean	16.5	15.7	0.4
Any blood transfusion	71 (38.8)	87 (47.5)	0.1
Co-injury types	-	-	-
Head	52 (28.4)	38 (20.8)	0.1
Spine	27 (14.8)	31 (16.9)	0.6
Thoracic	31 (16.9)	51 (27.9)	0.01^a
Abdominal	34 (18.6)	30 (16.4)	0.6
CT with contrast	168 (90.8)	149 (80.5)	0.005^a
Contrast blush	29 (17.5)	35 (24.5)	0.1
Pelvic angiogram	29 (15.8)	37 (20.2)	0.3
Pelvic embolization	17 (58.6)	26 (70.3)	0.3
Pelvic orthopedic surgery	35 (19.1)	14 (7.7)	0.001^a
Time: Admission to pelvic surgery, mean h	37.9	20.2	0.1
Exploratory laparotomy	24 (13.1)	19 (10.4)	0.4
ICU admission	96 (52.5)	114 (62.3)	0.1
ICU length of stay, mean days	7.3	8.1	0.5
Hospital length of stay, mean days	11.9	9.1	0.04^a
Do not resuscitate order	6 (3.3)	40 (21.9)	< 0.001^a
Mortality	7 (3.8)	24 (13.1)	0.001^a
Hospital discharge disposition	-	-	< 0.001^a
Expired in hospital	5 (2.7)	6 (3.3)	-
Hospice	2 (1.1)	18 (9.8)	-
Long term care hospital	8 (4.4)	11 (6.0)	-
Skilled nursing facility	12 (6.6)	59 (32.2)	-
Rehabilitation facility	65 (35.5)	68 (37.2)	-
Home	91 (49.7)	21 (11.5)	-

^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