ArticleBMC surgery2017
Association of pelvic fracture patterns, pelvic binder use and arterial angio-embolization with transfusion requirements and mortality rates; a 7-year retrospective cohort study.
Article in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Stop the bleed " - Prehospital bleeding control in patients with multiple and/or severe injuries - A systematic review and clinical practice guideline - A systematic review and clinical practice guideline.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Guideline
- Internal iliac artery ligation as a damage control method in hemodynamically unstable pelvic fractures: A systematic review of the literature.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2024Pooled it
- Management and outcomes of moderate-to-severe pelvic ring fractures: a 10-year experience from an Australian Level 1 Trauma Centre.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Automated Association for Osteosynthesis Foundation and Orthopedic Trauma Association classification of pelvic fractures on pelvic radiographs using deep learning.Scientific reports · 2024Article
- Pelvic packing or endovascular interventions: Which should be given priority in managing hemodynamically unstable pelvic fractures? A systematic review and a meta-analysis.Surgery open science · 2024Article
- Comparison of T-POD and SAM Pelvic Sling II and the influence of attachment level in the initial management of unstable pelvic type C injuries - a cadaveric study.International journal of emergency medicine · 2024Article
- Imposter or knight in shining armor? Pelvic circumferential compression devices (PCCD) for severe pelvic injuries in patients with multiple trauma: a trauma-registry analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Performance Assessment of Out-of-Hospital Use of Pelvic Circumferential Compression Devices for Severely Injured Patients in Switzerland: A Nationwide Retrospective Cross-Sectional Study.Journal of clinical medicine · 2023Article
- The management of pelvic ring fractures in low-resource environments: review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Multi-center Retrospective Study of Factors Affecting Perioperative Transfusion of Packed Red Blood Cells for Pelvic Fracture Patients.Orthopaedic surgery · 2022Article
- How effective are different models of pelvic binders: results of a study using a Pelvic Emergency Simulator.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Is there any benefit in the pre-hospital application of pelvic binders in patients with suspected pelvic injuries?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- The role of angioembolization and C-clamp fixation: Damaged control orthopaedic in haemodynamically unstable pelvic fracture.Annals of medicine and surgery (2012) · 2021Article
- Interobserver reliability of the Tile classification system for pelvic fractures among radiologists and surgeons.European radiology · 2021Article
- An Automated Deep Learning Method for Tile AO/OTA Pelvic Fracture Severity Grading from Trauma whole-Body CT.Journal of digital imaging · 2021Article
- Pelvic injury prognosis is more closely related to vascular injury severity than anatomical fracture complexity: the WSES classification for pelvic trauma makes sense.World journal of emergency surgery : WJES · 2020Article
- Pelvic circumferential compression devices for prehospital management of suspected pelvic fractures: a rapid review and evidence summary for quality indicator evaluation.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Review
- Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study.Journal of orthopaedic surgery and research · 2020Article
- Potentially serious adverse effects from application of a circumferential compression device for pelvic fracture: A report of three cases.Trauma case reports · 2020Article
- Deep learning-based quantitative visualization and measurement of extraperitoneal hematoma volumes in patients with pelvic fractures: Potential role in personalized forecasting and decision support.The journal of trauma and acute care surgery · 2020Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPelvic fractures are severe injuries with frequently associated multi-system trauma and a high mortality rate. The value of the pelvic fracture pattern for predicting transfusion requirements and mortality is not entirely clear. To address hemorrhage from pelvic injuries, the early application of pelvic binders is now recommended and arterial angio-embolization is widely used for controlling arterial bleeding. Our aim was to assess the association of the pelvic fracture pattern according to the Tile classification system with transfusion requirements and mortality rates, and to evaluate the correlation between the use of pelvic binders and arterial angio-embolization and the mortality of patients with pelvic fractures.
methodsSingle-center retrospective cohort study including all consecutive patients with a pelvic fracture from January 2008 to June 2015. All radiological fracture patterns were independently reviewed and grouped according to the Tile classification system. Data on patient demographics, use of pelvic binders and arterial angio-embolization, transfusion requirements and mortality were extracted from the institutional trauma registry and analyzed.
resultsThe present study included 228 patients. Median patient age was 43.5 years and 68.9% were male. The two independent observers identified 105 Tile C (46.1%), 71 Tile B (31.1%) and 52 Tile A (22.8%) fractures, with substantial to almost perfect interobserver agreement (Kappa 0.70-0.83). Tile C fractures were associated with a higher mortality rate (p = 0.001) and higher transfusion requirements (p < 0.0001) than Tile A or B fractures. Arterial angio-embolization for pelvic bleeding (p = 0.05) and prehospital pelvic binder placement (p = 0.5) were not associated with differences in mortality rates.
conclusionsTile C pelvic fractures are associated with higher transfusion requirements and a higher mortality rate than Tile A or B fractures. No association between the use of pelvic binders or arterial angio-embolization and survival was observed in this cohort of patients with pelvic fractures.
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