ArticleJournal of orthopaedic trauma2022
Pelvic Ring Injury Mortality: Are We Getting Better?
Article in Journal of orthopaedic trauma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Acute management of pelvic ring injuries: identifying common treatment principles across institutional algorithms.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Pelvic unlocking closed reduction device for treatment of severe traumas combined with pelvic fractures: a retrospective case series of 13 patients.BMC surgery · 2025Article
- Assessing the utility of routine postoperative radiographs in pelvic and acetabular trauma Surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 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
- A New Technology Using Mixed Reality Surgical Navigation with the Unlocking Closed Reduction Technique Frame to Assist Pelvic Fracture Reduction and Fixation: Technical Note.Orthopaedic surgery · 2023Article
- The management of pelvic ring fractures in low-resource environments: review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Management of pelvic ring fractures in limited resources country: a retrospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
Abstract
objectivesTo determine if changes in pelvic trauma care and treatment protocols have affected overall mortality rates after pelvic ring injury.
designRetrospective cohort study.
settingLevel I trauma center. PATIENTS/
participantsA total of 3314 patients with pelvic ring injuries who presented to a single referral center from 1999 to 2018 were included in the study.
interventionPelvic ring management, years 1999-2006 versus years 2007-2018. MAIN OUTCOME MEASUREMENTS: In hospital mortality. Other examined variables included change in patient demographics, fracture characteristics, date of injury, associated injuries, length of hospital stay, Abbreviated Injury Severity Score.
resultsThe composite mortality rate was 6.5% (214/3314). The earliest cohort presented a mortality rate of 9.1% [111/1224; 95% confidence interval (CI), 7.6%-10.8%] compared with the more recent cohort mortality rate of 4.9% (103/2090; 95% CI, 4.1%-5.9%). Overall mortality was significantly lower in the more recent period, a risk difference of 4.1% (95% CI, 2.3%-6.1%; P < 0.01). After adjusting for age and Abbreviated Injury Severity Score of the brain, chest, and abdomen, the mortality reduction was more pronounced with an adjusted risk difference of 6.4% (95% CI, 4.7%-8.1%; P < 0.01).
conclusionSignificant improvement in the mortality rate of pelvic ring injuries has been demonstrated in recent years (4.9% vs. 9.1%) and the difference is even large when accounting for known confounders. Improvement appears to coincide chronologically with changes in trauma resuscitation and implementation of adjuvant treatments for managing patients with severe hemorrhagic shock. Although the exact benefit of each treatment awaits further research, these data might indicate improved care over time for these difficult patients. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
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