ArticleBMC geriatrics2022
The impact of specific fracture characteristics of low-energy fractures of the pelvis on mortality.
Article in BMC geriatrics, 2022. 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, 10 citations in OpenAlex.
- Prevalence and risk factors for major arterial bleeding in fragility pelvic fractures in the aging population.Scientific reports · 2025Article
- Comprehensive Management of Different Types of Pelvic Fractures Through Multiple Disciplines: A Case Series.Journal of clinical medicine · 2025Article
- Pelvic Fractures in Adults and the Importance of Associated Injuries-A Current Multi-Disciplinary Approach.Clinics and practice · 2025Article
- Epidemiological characteristics and impact of sepsis on survival after osteoporotic pelvic fracture in Austria.Scientific reports · 2024Article
- Percutaneous hollow nail internal fixation treatment for fractures of the pubic symphysis and its adjacent areas.Frontiers in 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
- [Sacral H-shaped fractures between traumatic, insufficiency and fatigue fractures : Similarities, differences and controversies].Unfallchirurgie (Heidelberg, Germany) · 2023Review
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPelvic fractures in older patients are associated with relevant morbidity and mortality. Both might be determined by fracture morphology and/or patient characteristics. The aim of this project is to investigate the prognostic value of specific fracture characteristics with respect to overall survival and to compare it with an established classification system.
methodsRetrospective analysis of patients ≥ 60 years, treated conservatively for a CT-scan verified, low-energy pelvic ring fracture between August 2006 and December 2018. Survival data was available from patients' charts and cantonal or national registries. The prognostic value of fracture characteristic describing the anterior and posterior involvement of the pelvic ring was investigated. This analysis was repeated after patients were stratified into a high-risk vs a low-risk group according to patient characteristic (age, gender, comorbidities, mobility, living situation). This allowed to assess the impact of the different fracture morphologies on mortality in fit vs. frail senior patients separately.
resultsOverall, 428 patients (83.4% female) with a mean age of 83.7 years were included. Two thirds of patients were still living in their home and mobile without walking aid at baseline. In-hospital mortality was 0.7%, overall, one-year mortality 16.9%. An independent and significant association of age, gender and comorbidities to overall survival was found. Further, the occurrence of a horizontal sacral fracture as well as a ventral comminution or dislocation was associated with an increased mortality. The effect of a horizontal sacral fracture was more accentuated in low-risk patients while the ventral fracture components showed a larger effect on survival in high-risk patients.
conclusionSpecific fracture characteristics may indicate a higher risk of mortality in conservatively treated patients with a low-energy pelvic ring fracture. Hence, they should be taken into account in future treatment algorithms and decisions on patient management.
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