Evidence map›Paper›PMID 41410750›Full record

Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Predictors of long- term survival after pelvic ring fractures in geriatric patients - five-year results of a prospective observational study of 134 patients.

Julia Lenz, Jeanne Zwar, Ludwig Oberkircher, Martin Bäumlein, Vanessa Ketter, Juliana Hack, Daphne Eschbach, Ulf Bökeler, Steffen Ruchholtz, Tom Knauf

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

10 authors.

Julia LenzMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany. lenzju@med.uni-marburg.de.
Jeanne ZwarHelios Hospital Schwerin, Wismarsche Straße 393-396, 19055, Schwerin, Germany.
Ludwig OberkircherHospital of Friedrichshafen, Röntgenstraße 2, 88048, Friedrichshafen, Germany.
Martin BäumleinMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany.
Vanessa KetterHelios Hospital Kassel, Bergmannstraße 32, 34121, Kassel, Germany.
Juliana HackMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany.
Daphne EschbachHelios Hospital Kassel, Bergmannstraße 32, 34121, Kassel, Germany.
Ulf BökelerMarienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Germany.
Steffen RuchholtzMarburg University, School of Medicine, Center for Orthopaedics and Trauma Surgery, University Hospital Gießen and Marburg GmbH, Baldingerstraße, 35043, Marburg, Germany.
Tom KnaufHelios Hospital Kassel, Bergmannstraße 32, 34121, Kassel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe incidence of geriatric fractures, particularly pelvic fragility fractures, is rising due to demographic changes. While fractures located at the proximal femur remain the most common fracture in older adults, the number of pelvic fractures has constantly increased, especially following low-impact trauma such as falls. This study aims to evaluate the 5-year survival rate and identify factors influencing survival in geriatric patients with fragility fractures of the pelvis.

methodsA prospective single-center observational study included 134 patients aged 60 and older with fragility fractures of the pelvis from June 2012 to December 2016. Patients were contacted 5 years post-fracture to assess survival. Barthel Index, Instrumental Activities of Daily Living (IADL), comorbidity scores, living situation and fracture related data were collected. Statistical analyses were performed using IBM SPSS.

resultsOf the 134 patients, 103 were re-examined after 5 years, revealing a mortality rate of 62.1%. The mean age of participants was 79.67 years, with a higher prevalence of females (82.5%). Survivors exhibited significantly better pre-fracture Barthel Index (91.79 vs. 82.35, p = 0.003) and IADL scores (6.38 vs. 4.11, p < 0.001). The ASA score and age-adjusted Charlson Comorbidity Score were also lower among survivors, indicating a correlation between pre-fracture functional status and long-term survival.

conclusionOur Results indicate that survival outcomes for patients with fragility fractures of the pelvic are poor, highlighting an urgent need for tailored treatment protocols, which are currently lacking for pelvic fractures. Despite a survival rate of 37.9%, the treatment of these fragile patients remains warranted. Key predictors of survival include the pre-fracture Barthel Index and IADL scores, alongside lower ASA and Charlson Comorbidity Scores. We recommend assessing these factors upon admission to enhance mortality risk prediction and ensure more focused care for at-risk patients.

Indexed as

Fractures, BoneOsteoporotic FracturesPelvic BonesActivities of Daily LivingAgedAged, 80 and overComorbidityFemaleGeriatric AssessmentHumansMaleMiddle AgedProspective StudiesRisk FactorsSurvival Rate5-year mortalityFFPGeriatric patientPelvic ring fractureRisk factors

Identifiers

PMID41410750
PMCPMC12715046

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.