Evidence map›Paper›PMID 24695812›Full record

SynthesisDer Unfallchirurg2015

[Complex pelvic traumas : data linkage of the German Pelvic Injury Register and the TraumaRegister DGU®].

M Burkhardt, U Nienaber, J Krause, A Pizanis, P Moersdorf, U Culemann, E Aghayev, T Paffrath, T Pohlemann, J H Holstein and 2 more

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Der Unfallchirurg, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Pelvic hemorrhage in the context of demographic change: frequency and CT-based characterization of pelvic bleeding.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  2. Predictors of prolonged hospital stay of pelvic ring and acetabular fractures - a retrospective analysis in a 10-year period of a level 1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  3. Article
  4. [Traumatic hemipelvectomy : An uncommon case in trauma surgery].Unfallchirurgie (Heidelberg, Germany) · 2024
    Article
  5. The pelvic vascular injury score (P-VIS): a prehospital instrument to detect significant vascular injury in pelvic fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  6. Article
  7. Article
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

M BurkhardtAbteilung für Chirurgie, Schwerpunkt Unfallchirurgie und Orthopädie, Handchirurgie, Evangelisches Stadtkrankenhaus Saarbrücken, Großherzog-Friedrich-Straße 44, 66111, Saarbrücken, Deutschland. Mac.Burkhardt@t-online.de.
U NienaberAUC - Akademie der Unfallchirurgie GmbH, München, Deutschland.
J KrauseKlinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.
A PizanisKlinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.
P MoersdorfKlinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.
U CulemannKlinik für Unfallchirurgie, Allgemeines Krankenhaus Celle, Celle, Deutschland.
E AghayevInstitut für Evaluative Forschung in der Medizin, Universität Bern, Bern, Schweiz.
T PaffrathLehrstuhl für Orthopädie, Unfallchirurgie und Sporttraumatologie, Universitätsklinikum Witten/Herdecke, Klinikum Köln-Merheim, Köln, Deutschland.
T PohlemannKlinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.
J H HolsteinKlinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland.
Beckenregister DGU
TraumaRegister DGU®
Universitätsklinikum des Saarlandes · DEKlinikum Saarbrücken · DEUniversity of Bern · CHAllgemeines Krankenhaus Celle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplex pelvic traumas, i.e., pelvic fractures accompanied by pelvic soft tissue injuries, still have an unacceptably high mortality rate of about 18 %. PATIENTS AND

methodsWe retrospectively evaluated an intersection set of data from the TraumaRegister DGU® and the German Pelvic Injury Register from 2004-2009. Patients with complex and noncomplex pelvic traumas were compared regarding their vital parameters, emergency management, stay in the ICU, and outcome.

resultsFrom a total of 344 patients with pelvic injuries, 21 % of patients had a complex and 79 % a noncomplex trauma. Complex traumas were significantly less likely to survive (16.7 % vs. 5.9 %). Whereas vital parameters and emergency treatment in the preclinical setting did not differ substantially, patients with complex traumas were more often in shock and showed acute traumatic coagulopathy on hospital arrival, which resulted in more fluid volumes and transfusions when compared to patients with noncomplex traumas. Furthermore, patients with complex traumas had more complications and longer ICU stays.

conclusionPrevention of exsanguination and complications like multiple organ dysfunction syndrome still pose a major challenge in the management of complex pelvic traumas.

Indexed as

AdultBlood TransfusionComorbidityDisseminated Intravascular CoagulationFemaleFluid TherapyFractures, BoneGermanyHospital MortalityHumansLength of StayMaleMedical Record LinkageMultiple TraumaPelvisPrevalenceEmergency managementMortalityPelvic fracturePelvic trauma, complexRegistry

Identifiers

PMID24695812
OpenAlexW2310049006

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.