ArticleBMC geriatrics2019
Mortality and comorbidity after non-operatively managed, low-energy pelvic fracture in patients over age 70: a comparison with an age-matched femoral neck fracture cohort and general population.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Operative management of fragility fractures of the pelvis - a systematic review.BMC musculoskeletal disorders · 2021Pooled it
- The phenotype of pelvic and acetabular fractures in adults aged 50 and older: a national database analysis in the Netherlands.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Pelvic injuries in elderly trauma patients: epidemiology, injury characteristics, in-hospital care and factors influencing mortality.Archives of orthopaedic and trauma surgery · 2026Article
- Explainable Multimodal Machine Learning Predicts 90-Day Treatment Failure in Older Patients with Fragility Fractures of the Pelvis.Journal of clinical medicine · 2026Article
- Observational study on the comparability of the clinical profiles of older adults with hip fractures and pelvic fractures in Germany.Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- Article
- The Impact of CT Imaging on the Diagnosis of Fragility Fractures of the Pelvis: An Observational Prospective Multicenter Study.Journal of clinical medicine · 2026Article
- Prevalence and risk factors for major arterial bleeding in fragility pelvic fractures in the aging population.Scientific reports · 2025Article
- Emerging basic science concepts in geriatric fracture fixation and patient recovery.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Novel handheld pelvic alignment guide for hollow screw fixation in osteoporotic pelvic fragility fractures.World journal of orthopedics · 2025Article
- Dynamic parallel traction theoretical model for the application and validation in femoral neck fractures - a finite element analysis.Journal of orthopaedics · 2025Article
- Risk Factors for Readmission Following Elderly Low Energy Pelvis Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Review
- Sacral U-type Fractures in Patients Older Than 65 years.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Health-economic evaluation of orthogeriatric co-management for patients with pelvic or vertebral fragility fractures.BMC geriatrics · 2024Article
- A prediction model for osteonecrosis of femoral head after internal fixation with multiple cannulated compression screws for adult femoral neck fractures.Joint diseases and related surgery · 2024Article
- Clinical Associated Factors of Tile B/C Type of Pelvic Ring Fractures; a Retrospective Cross-sectional study.Archives of academic emergency medicine · 2024Article
- Adverse outcomes following pelvic fracture: the critical role of frailty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Epidemiology of fragility fracture of the pelvic ring: a regional population-based study in Northern Japan.Archives of osteoporosis · 2023Article
- Pelvic Ring Fractures in Older Adult Patients-Assessing Physician Practice Variation among (Orthopedic) Trauma Surgeons.Journal of clinical medicine · 2023Article
Corrections and comments
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6 authors.
Funding
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Abstract
backgroundResearch on mortality and comorbidity associated with pelvic fractures in older patients is scarce. We aimed to determine the short- and long-term mortality rates of older patients with a pelvic ring fracture compared with both an age-matched cohort of patients with a femoral neck fracture and a general population, and to investigate 30- and 60-day readmission rates after pelvic fracture.
methodsThis was a retrospective cohort study done in an emergency department of a level II/III trauma center. All patients aged over 70 years diagnosed with a pelvic or acetabular fracture between January 2010 and December 2016 in our ED were identified. Two reference populations were used: patients operated due to femoral neck fracture in our institution between 2007 and 2008 and a general population aged 70 years or more.
resultsTwo hundred nineteen patients were identified. 30- and 90-day mortality was 7.3 and 11.4%, respectively. Compared to the general population, a pelvic fracture was associated with an 8.5-fold (95% CI: 5.2-13.9) and 11.0-fold (95% CI: 5.4-22.3) 90-day mortality risk in females and males, respectively. We could not observe a difference in the risk of 90-day mortality between femoral neck fracture patients and patients with a pelvic fracture. Within 30 days, 28 (12.8%) pelvic fracture patients were readmitted for in-patient care in our hospital.
conclusionsThe mortality of older patients with pelvic ring fractures resembles that after hip fracture. Although older patients with a pelvic ring fracture rarely require operative treatment, the severity of the injury should not be considered as a class apart from hip fracture.
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