Improved Survival After Pelvic Fracture: 13 Year Experience at a Single Trauma Center Using a Multi-disciplinary Institutional Protocol

Sheena R. Black, Ashoke K. Sathy, Chan Hee Jo, Marcel R. Wiley, Joseph P. Minei, Adam J. Starr

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

OBJECTIVES:: To analyze pelvic fracture mortality rates before and after initiation of a multi-disciplinary pelvic fracture protocol. DESIGN:: Retrospective database analysis SETTING:: Prospective data from our Level-I National Trauma Registry of The American College of Surgeons (NTRACS) database. PATIENTS/PARTICIPANTS:: A total of 1682 trauma patients with pelvic fractures from 2000-2013 were compared with a control group of 42,629 without pelvic fractures. INTERVENTION:: Initiation of a multi-disciplinary institutional protocol to guide the initial management of trauma patients with pelvic fractures MAIN OUTCOME MEASUREMENTS:: Patients were grouped into three periods (Group 1: 2000 – 2003, Group 2: 2004 – 2007, Group 3: 2008 – 2013). Multivariate logistic regression analysis was conducted to assess associations between mortality and age, shock (systolic blood pressure (SBP) less than or equal to 90 mmHg), head injury (Glasgow Coma Scale (GCS) less than or equal to 8), Injury Severity Score (ISS), and time period. RESULTS:: Unadjusted mortality rates decreased (12.5% to 11.0%(p=0.72)) while ISS increased (19.1 to 22.7(p

Original languageEnglish (US)
JournalJournal of Orthopaedic Trauma
DOIs
StateAccepted/In press - Sep 3 2015

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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