ArticleJournal of clinical orthopaedics and trauma
Risk factors for complications and in-hospital mortality: An analysis of 19,834 open pelvic ring fractures.
Article in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Iatrogenic nerve injury following pelvic ring injury: a network meta-analysis.International journal of surgery (London, England) · 2025Pooled it
- Surgical site infections after stabilization of pelvic ring injuries: a retrospective analysis of risk factors and a meta-analysis of similar studies.International orthopaedics · 2023Pooled it
- Anterior-posterior versus posterior-only stabilization of unstable pelvic ring injuries in polytraumatized patients: a comparative analysis of clinical, radiological, and long-term functional outcomes.International orthopaedics · 2026Article
- Risk Factors, Clinical Outcomes, and Medical Costs of Pelvic Infection After Open Pelvic Fractures: A 7-Year Retrospective Observational Study at a Single Trauma Center.Healthcare (Basel, Switzerland) · 2026Article
- Long-term functionality and quality of life after open pelvic ring fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Risk factors associated with nosocomial infections in pelvic ring and acetabular fractures: A case-control study.Journal of clinical orthopaedics and trauma · 2025Article
- Associated peritoneostomy and pelvic ring fractures: prognostic factors in mortality and morbidity.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- Conventional versus Instillation Negative-Pressure Wound Therapy for Severe Soft Tissue Injury in Open Pelvic Fractures: A Retrospective Review.Yonsei medical journal · 2025Article
- Bilateral thigh compartment syndrome following intraoperative pelvic binder reduction of open pelvic fracture: a case report and review of literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Review
- Establishment and validation of a predictive model for lower extremity deep vein thrombosis in patients with traumatic pelvic fractures.Thrombosis journal · 2024Article
- Epidemiological characteristics and impact of sepsis on survival after osteoporotic pelvic fracture in Austria.Scientific reports · 2024Article
- Immediate management of a stable patient with unstable pelvis.EFORT open reviews · 2024Review
- Postoperative Reduction Quality May Be the Most Important Factor That Causes Worse Functional Outcomes in Open and Closed Pelvic Fractures.World journal of surgery · 2022Article
- Accuracy of the WSES classification system for pelvic ring disruptions: an international validation study.World journal of emergency surgery : WJES · 2021Article
- Six-year national study of damage control laparotomy and the effect of repeat re-exploration on rate of infectious complications.Trauma surgery & acute care open · 2021Article
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6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpen pelvic fractures are rare injuries, associated with high patient morbidity and mortality. Few studies have investigated the impact of patient demographics, comorbidities, and injury related factors on complication and mortality rates. The purpose of this study was to: (1) identify the overall incidence of complications and mortality after open pelvic fractures, (2) compare patient factors between those who did and did not develop complications, (3) identify perioperative independent risk factors for complications and mortality.
methodsA query was performed for patients with open pelvic fractures between 2007 and 2017 using the American College of Surgeons National Trauma Data Bank. Patient and injury specific variables were collected and complications were identified using International Classification of Disease Ninth and Tenth edition Codes. Patient demographic and perioperative data was compared using Fisher's exact test and chi-square test for categorical variables, and Welch's
resultsA total of 19,834 open pelvic fracture cases were identified, with 9622 patients (48.5%) developing at least one complication. Patients who developed complications were older (35.0 vs 38.1 years), and had higher Injury Severity Scores (17.7 vs 26.5), lower Glasgow Coma Scores (14.2 vs 11.7), and a larger proportion presenting with hypotension (21% vs 6.9%). After pooled regression involving 19 factors, these were the strongest independent predictors of inpatient complication and mortality.
conclusionWe report a mortality rate of 14%, with an inclusive complication rate of 48.5%. Evaluating risk factors for morbidity and mortality for this devastating orthopaedic injury provides knowledge of an inherently sparse population. LEVEL OF EVIDENCE: Level II, Retrospective study.
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