Evidence map›Paper›PMID 36867255›Full record

SynthesisInternational orthopaedics2023

Surgical site infections after stabilization of pelvic ring injuries: a retrospective analysis of risk factors and a meta-analysis of similar studies.

Martin Salášek, Richard Český, Adam Whitley, Kryštof Šídlo, Petr Klézl, Valér Džupa

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Accuracy of 3D-navigated screw fixation in pelvic ring fractures: a single-centre consecutive observational case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Observational
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Martin SalášekDepartment of Orthopaedics and Traumatology, Faculty of Medicine of Charles University, and University Hospital, Pilsen, Czech Republic. salasekm@fnplzen.cz.ORCID http://orcid.org/0000-0003-3181-013X
Richard ČeskýThird Faculty of Medicine, Charles University, Prague, Czech Republic.
Adam WhitleyDepartment of Surgery, Third Faculty of Medicine of Charles University, and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Kryštof ŠídloDepartment of Orthopaedics and Traumatology, Third Faculty of Medicine of Charles University, and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Petr KlézlDepartment of Urology, Third Faculty of Medicine of Charles University, and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Valér DžupaDepartment of Orthopaedics and Traumatology, Third Faculty of Medicine of Charles University, and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Charles University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePelvic ring fractures requiring surgical stabilization are severe injuries. Surgical site infections occurring after stabilization of the pelvis are serious complications, requiring complex and multidisciplinary treatment.

methodsThis is a retrospective observational study from a level I trauma centre. One hundred and ninety-two patients who underwent stabilization of closed pelvic ring injuries without signs of pathological fracture were selected for inclusion into the study. After excluding seven patients for having incomplete data, the final study group consisted of 185 patients (117 men and 68 women). Basic epidemiologic data and potential risk factors were recorded and analyzed by Cox regression, Kaplan-Meier curves, and risk ratios in 2 × 2 tables. Categorical variables were compared by Fisher exact tests and chi squared tests. Parametric variables were analyzed with Kruskal-Wallis tests with post hoc Wilcoxon tests.

resultsSurgical site infections occurred in 13% of the study group (24 from 185). Eighteen infections occurred in men (15.4%) and six in women (8.8%). There were two significant risk factors in women: age over 50 years (p = 0.0232) and concomitant urogenital trauma (p = 0.0104). The common risk ratio for both these factors was 212.59 (8.78-5148.68), p = 0.0010. No significant risk factors were identified in men despite younger men having a higher incidence of infection (p = 0.1428).

conclusionOverall rate of infectious complications was higher than in the literature, but this might be caused by inclusion of all patients regardless of surgical strategy. Higher age in women and lower age in men were associated with higher infection rates. Concomitant urogenital trauma was a significant risk factor in women.

Indexed as

Fractures, BonePelvic BonesFemaleFracture FixationHumansMaleMiddle AgedObservational Studies as TopicRetrospective StudiesSurgical Wound InfectionFracture related infectionInfectionPelvic ringRisk factor analysisStabilizationSurgical site infection

Identifiers

PMID36867255
PMCPMC10079748
OpenAlexW4323037647

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.