ArticlePloS one2019
Pelvic ring injury in the elderly: Fragile patients with substantial mortality rates and long-term physical impairment.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Comparing the Efficacy and Safety of Robot Assisted Minimally Invasive Treatment Versus Conservative Treatment in Elderly Patients With FFP1-2 Fragility Fractures of the Pelvis
Comparing the Efficacy and Safety of Robot Assisted Minimally Invasive Treatment Versus Conventional Surgery in Elderly Patients With FFP3-4 Fragility Fractures of the Pelvis
Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Indications for surgical fixation of low-energy pelvic ring fractures in elderly: a systematic review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Fragility fractures of the pelvis in the elderly: protocol for an international prospective multicentre observational cohort study.BMJ open · 2026Observational
- Pelvic injuries in elderly trauma patients: epidemiology, injury characteristics, in-hospital care and factors influencing mortality.Archives of orthopaedic and trauma surgery · 2026Article
- Fragility fractures of the pelvis and long-term outcomes among older adults with osteoporosis: a real-world cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Clinical efficacy of supine direct-superior approach versus posterolateral approach in hemiarthroplasty for femoral neck fractures in elderly patients.BMC musculoskeletal disorders · 2026Article
- Conservative versus operative treatment of LC-1 pelvic ring fractures: radiographic and long-term functional outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Operative versus non-operative treatment of fragility fractures of the pelvis: retrospective evaluation of one-year mortality and in-hospital complications.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- The Impact of CT Imaging on the Diagnosis of Fragility Fractures of the Pelvis: An Observational Prospective Multicenter Study.Journal of clinical medicine · 2026Article
- Functional status and health-related quality of life following Young and Burgess classified pelvic ring injuries.PloS one · 2026Article
- [Robotically assisted placement of a pubic ramus screw and an SI-S1 screw].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Clinical outcomes in fragility fractures of the pelvis; what can we tell our patients?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Fragility Fractures of the Pelvis With Acetabular and Femoral Neck Fractures in Elderly Patients.Cureus · 2025Article
- Porous threaded titanium implant screws have higher insertional torque compared to standard screws.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Dose-Volume Constraints for Thoracic, Abdominal, and Pelvic Carbon Ion Radiotherapy: A Literature Review.Cancer medicine · 2025Review
- Risk Factors for Readmission Following Elderly Low Energy Pelvis Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Is patient-reported outcome after treatment of unstable pelvic ring injuries related to pelvic symmetry? A prospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Innovative development of robot reduction system in geriatric pelvic fractures: A single-center case series in Beijing, China.Journal of orthopaedic translation · 2024Article
- Article
- Clinically relevant bleeding risk in low-energy fragility fractures of the pelvis in elderly patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Low Rate of Teriparatide Supplementation for the Treatment of Osteoporotic Pelvic Fractures in Elderly Females.Geriatric orthopaedic surgery & rehabilitation · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPelvic ring injuries in the elderly often occur after low-energy accidents. They may result in prolonged immobilization, complications and an intense rehabilitation process. The aim of this study was to assess mortality, physical functioning and quality of life (QoL) in elderly patients with pelvic ring injuries.
methodsA cross-sectional study was performed including all elderly patients (≥ 65 years) admitted for a pelvic ring injury between 2007-2016. Mortality and survival were evaluated and patient reported outcome measures (PROMs) were used to assess physical functioning (SMFA) and QoL (EQ-5D). These were compared to age-matched normative data from the general Dutch population.
resultsA total of 153 patients, with a mean age of 79 years (SD 8) at the time of injury, were included in this study. The mortality rate was 20% at 30 days, 27% at 1 year and 41% at 3 years of follow-up. All six patients with a type C fracture died within 30 days. Analyses of the 153 patients showed that increasing age, fracture type C and Injury Severity Score (ISS) were all independent risk factors for mortality. Eventually, after excluding patients that died (N = 78) or were unable to contact (N = 2), 73 patients were eligible for follow-up, of which 53 patients (73%) responded. Mean Short Musculoskeletal Function Assessment (SMFA) scores were respectively 67.4 (function index), 65.2 (bother index), 66.5 (lower extremity), 60.4 (activities of daily living) and 68.2 (emotion). Mean EuroQuol-5D (EQ-5D) score was 0.72. Overall, physical functioning and quality of life were significantly decreased in comparison with normative data from the general population.
conclusionElderly people who sustain a pelvic ring injury should be considered as a fragile population with substantial mortality rates. The patients who survived demonstrated a substantially lower level of physical functioning and quality of life in comparison with their age-matched peers from the general population. LEVEL OF EVIDENCE: IV, therapeutic study.
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Registered trials
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.