TY - JOUR
T1 - Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fractures
AU - Ghaemmaghami, Vafa
AU - Sperry, Jason
AU - Gunst, Mark
AU - Friese, Randall
AU - Starr, Adam
AU - Frankel, Heidi
AU - Gentilello, Larry M.
AU - Shafi, Shahid
PY - 2007/12
Y1 - 2007/12
N2 - Background: We hypothesized that early use of external mechanical compression (EMC) reduces hemorrhage and mortality associated with pelvic fractures. Methods: Patients with pelvic fractures and one of the following risk factors for hemorrhage were studied retrospectively: (1) unstable fracture pattern, or (2) any fracture in patients older than 55 years of age, or (3) fracture with sytemic hypotension. Starting in November of 2003, EMC was performed using circumferential pelvic binders on patient arrival and continued for 24 to 72 hours. Patients who underwent EMC (n = 118) were compared with historical controls in the preceding year (n = 119). Results: Patients in the EMC and control groups had similar fracture patterns, age, and injury severity. EMC had no effect on mortality (23% vs 23%, P = .92), need for pelvic angioembolization (11% vs 15%, P = .35), or 24-hour transfusions (5.2 ± 10 vs 4.6 ± 9 U, P = .64). Conclusions: Early EMC with pelvic binders does not reduce hemorrhage or mortality associated with pelvic fractures.
AB - Background: We hypothesized that early use of external mechanical compression (EMC) reduces hemorrhage and mortality associated with pelvic fractures. Methods: Patients with pelvic fractures and one of the following risk factors for hemorrhage were studied retrospectively: (1) unstable fracture pattern, or (2) any fracture in patients older than 55 years of age, or (3) fracture with sytemic hypotension. Starting in November of 2003, EMC was performed using circumferential pelvic binders on patient arrival and continued for 24 to 72 hours. Patients who underwent EMC (n = 118) were compared with historical controls in the preceding year (n = 119). Results: Patients in the EMC and control groups had similar fracture patterns, age, and injury severity. EMC had no effect on mortality (23% vs 23%, P = .92), need for pelvic angioembolization (11% vs 15%, P = .35), or 24-hour transfusions (5.2 ± 10 vs 4.6 ± 9 U, P = .64). Conclusions: Early EMC with pelvic binders does not reduce hemorrhage or mortality associated with pelvic fractures.
KW - External pelvic compression
KW - Pelvic binders
KW - Pelvic fractures
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U2 - 10.1016/j.amjsurg.2007.08.040
DO - 10.1016/j.amjsurg.2007.08.040
M3 - Article
C2 - 18005760
AN - SCOPUS:36049023070
SN - 0002-9610
VL - 194
SP - 720
EP - 723
JO - American journal of surgery
JF - American journal of surgery
IS - 6
ER -