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 4 Comparison of patients with pelvic fractures with and without abdominal co-injuries, n (%)

Variable	With abdominal co-injuries (n = 93)	Without abdominal co-injuries (n = 465)	P value
Age, mean	56.0	63.3	0.003^a
Geriatric	35 (37.6)	256 (55.1)	0.002^a
Sex (Female/Male)	38 (40.9)/55 (59.1)	246 (52.9)/219 (47.1)	0.03^a
Comorbidities	65 (69.9)	358 (77.0)	0.1
Mechanism of injury	-	-	< 0.001^a
Fall	13 (14.0)	191 (41.1)	-
Motor vehicle	76 (81.7)	268 (57.6)	-
Glasgow coma scale, mean	12.2	13.9	< 0.001^a
Injury severity score, mean	27.4	13.3	< 0.001^a
AIS pelvis	-	-	< 0.001^a
2	43 (46.2)	343 (73.8)	-
3	13 (14.0)	49 (10.5)	-
4	20 (21.5)	64 (13.8)	-
5	17 (18.3)	9 (1.9)	-
Any blood transfusion	71 (76.4)	150 (32.2)	< 0.001^a
Co-injury types	-	-	-
Head	25 (26.9)	101 (21.7)	0.3
Spine	22 (23.7)	59 (12.7)	0.006^a
Thoracic	34 (36.6)	77 (16.6)	< 0.001^a
CT with contrast	90 (96.8)	358 (77.0)	< 0.001^a
Contrast blush	41 (45.6)	32 (8.9)	< 0.001^a
Pelvic angiogram	48 (51.6)	54 (11.6)	< 0.001^a
Pelvic embolization	33 (68.8)	28 (51.9)	0.1
Pelvic orthopedic surgery	27 (29.0)	47 (10.1)	< 0.001^a
Exploratory laparotomy	51 (54.8)	13 (2.8)	< 0.001^a
ICU admission	83 (89.2)	238 (51.2)	< 0.001^a
ICU length of stay, mean days	13.4	5.7	< 0.001^a
Hospital length of stay, mean days	22.5	8.6	< 0.001^a
Mortality	17 (18.3)	23 (4.9)	< 0.001^a
Hospital discharge disposition	-	-	< 0.001^a
Expired in hospital	9 (9.7)	5 (1.1)	-
Hospice	8 (8.6)	18 (3.9)	-
Long term care hospital	14 (15.1)	12 (2.6)	-
Skilled nursing facility	13 (14.0)	113 (24.3)	-
Rehabilitation facility	26 (28.0)	166 (35.7)	-
Home	23 (24.7)	151 (32.5)	-

^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