ArticleGeriatric orthopaedic surgery & rehabilitation2020
Bleeding Risk Associated With Hemodynamically Stable Low-Energy Pelvic Fracture.
Article in Geriatric orthopaedic surgery & rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- External iliac artery entrapment associated with pelvic fracture. A case report.Trauma case reports · 2026Article
- In the shadow of stability lies ruin: Occult vascular injuries in geriatric pelvic trauma.World journal of clinical cases · 2025Article
- Pelvic Fractures in Adults and the Importance of Associated Injuries-A Current Multi-Disciplinary Approach.Clinics and practice · 2025Article
- Transfusion Risk Factors in Low-Energy Pelvic Fractures: A Retrospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Hemorrhage in Pelvic Ring Fractures After Low-Energy Trauma: A Systematic Review.Journal of clinical medicine · 2024Review
- Multi-center Retrospective Study of Factors Affecting Perioperative Transfusion of Packed Red Blood Cells for Pelvic Fracture Patients.Orthopaedic surgery · 2022Article
- Article
- Low-Energy Pelvic Ring Fractures: A Care Conundrum.Geriatric orthopaedic surgery & rehabilitation · 2021Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLife-threatening hemorrhage associated with low-energy pelvic fracture has been described in single cases in the literature. However, there is limited evidence available on the bleeding risk associated with hemodynamically stable osteoporotic pelvic fractures. The objective of this study was to estimate the bleeding risk associated with low-energy osteoporotic pelvic fractures in the elderly population. MATERIALS AND
methodsA retrospective review of patients aged > 65 years old with pelvic fractures admitted between 2015 and 2018 was performed. Eighty-two patients were identified: 12 males and 70 females with a median age of 86 years. The median Charlson comorbidity index was 6 (interquartile range = 5-7). Eighty-one fractures were classified as lateral compression I or Tile A2, and 1 fracture was classified as lateral compression II or Tile B2. Forty patients were on concurrent anticoagulation treatment. In 4 patients on warfarin, this treatment was reversed on admission.
resultsThe mean hemoglobin (Hb) level on arrival was 12.36 g/dL (±1.67 g/dL). There were significant drops in Hb levels on day 1 (Hb = 11.22 ± 1.86 g/dL, DISCUSSION: An observed mean decrease in Hb level of up to 1.4 g/dL can occur in hemodynamically stable elderly patients with osteoporotic pelvic fractures, reflecting an approximate loss of 1.4 units of packed red blood cells.
conclusionThis degree of decrease in Hb may be clinically significant in geriatric patients with chronic anemia and a history of cardiovascular disease.
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