ArticleRevista do Colegio Brasileiro de Cirurgioes2022
Predictive factors of mortality in patients with pelvic fracture and shock submitted to extraperitoneal pelvic packing.
Article in Revista do Colegio Brasileiro de Cirurgioes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 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
- Analysis of factors associated with the outcome of hospitalisation in patients with traumatic pelvic fracture combined with shock.BMC surgery · 2025Article
- Comprehensive Management of Different Types of Pelvic Fractures Through Multiple Disciplines: A Case Series.Journal of clinical medicine · 2025Article
- Evolution of management strategies for unstable pelvic ring injuries over the past 40 years: a systematic review.Patient safety in surgery · 2024Article
- Hemostatic Interventions and All-Cause Mortality in Hemodynamically Unstable Pelvic Fractures: A Systematic Review and Meta-Analysis.Emergency medicine international · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionin recent decades, the extraperitoneal pelvic packing technique has been disseminated, but there are still few studies. Thus, it was decided to analyze the results of extraperitoneal pelvic tamponade, in patients with pelvic fracture and shock, in order to identify predictive factors for mortality.
methodsa retrospective review of medical records of patients submitted to extraperitoneal pelvic packing was conduced. We analyzed their characteristics, prehospital and emergency room data, pelvic fracture classification, associated and severity injuries, laboratory and imaging exams, data on packing, arteriography, and other procedures performed, complications, hemodynamic parameters, and amount of transfused blood products before and after packing.
resultsdata were analyzed from 51 patients, who showed signs of shock from prehospital care, presence of acidosis, with high base deficit and arterial lactate levels. Most patients underwent multiple surgical procedures due to severe associated injuries. The incidence of coagulopathy was 70.58%, and overall mortality was 56.86%. The group of non-surviving patients presented significantly higher age, prehospital endotracheal intubation, and lower Glasgow Coma Scale scores (p<0.05). The same group presented, before and after extraperitoneal pelvic packing, significantly worse hemodynamic parameters of mean arterial pressure, pH, base deficit, hemoglobin, and arterial lactate (p<0.05). The non-surviving group received significantly more units of packed red blood cells, fresh frozen plasma and platelets within 24 hours following extraperitoneal pelvic packing (p<0.05).
conclusionage and base deficit are independent predictors of mortality in patients submitted to extraperitoneal pelvic packing.
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