About: Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study
Creator	Abdelrahman, Husham Al-Thani, Hassan Asim, Mohammad El-Menyar, Ayman Alhammoud, Abduljabbar Babikir, Elhadi Ghouri, Keil, Holger Muenzberg, Matthias Syed, Imran
topic	covid:f3cb4deacd77aeae6134bfd594e4b50b8f84f20c#this
Source	PMC
abstract	BACKGROUND: Traumatic pelvic fracture (TPF) is a significant injury that results from high energy impact and has a high morbidity and mortality. PURPOSE: We aimed to describe the epidemiology, incidence, patterns, management, and outcomes of TPF in multinational level 1 trauma centers. METHODS: We conducted a retrospective analysis of all patients with TPF between 2010 and 2016 at two trauma centers in Qatar and Germany. RESULTS: A total of 2112 patients presented with traumatic pelvic injuries, of which 1814 (85.9%) sustained TPF, males dominated (76.5%) with a mean age of 41 ± 21 years. In unstable pelvic fracture, the frequent mechanism of injury was motor vehicle crash (41%) followed by falls (35%) and pedestrian hit by vehicle (24%). Apart from both extremities, the chest (37.3%) was the most commonly associated injured region. The mean injury severity score (ISS) of 16.5 ± 13.3. Hemodynamic instability was observed in 44%. Blood transfusion was needed in one third while massive transfusion and intensive care admission were required in a tenth and a quarter of cases, respectively. Tile classification was possible in 1228 patients (type A in 60%, B in 30%, and C in 10%). Patients with type C fractures had higher rates of associated injuries, higher ISS, greater pelvis abbreviated injury score (AIS), massive transfusion protocol activation, prolonged hospital stay, complications, and mortality (p value < 0.001). Two-thirds of patients were managed conservatively while a third needed surgical fixation. The median length of hospital and intensive care stays were 15 and 5 days, respectively. The overall mortality rate was 4.7% (86 patients). CONCLUSION: TPF is a common injury among polytrauma patients. It needs a careful, systematic management approach to address the associated complexities and the polytrauma nature.
has issue date	2020-07-09(xsd:dateTime)
bibo:doi	10.1186/s13018-020-01772-w
has license	cc-by
sha1sum (hex)	f3cb4deacd77aeae6134bfd594e4b50b8f84f20c
schema:url	https://doi.org/10.1186/s13018-020-01772-w
resource representing a document's title	Patterns, management, and outcomes of traumatic pelvic fracture: insights from a multicenter study
has PubMed Central identifier	PMC7344030
schema:publication	J Orthop Surg Res
resource representing a document's body	covid:f3cb4deacd77aeae6134bfd594e4b50b8f84f20c#body_text
is http://vocab.deri.ie/void#inDataset of	https://covidontheweb.inria.fr:4443/about/id/http/ns.inria.fr/covid19/f3cb4deacd77aeae6134bfd594e4b50b8f84f20c
is schema:about of	named entity 'describe' named entity 'high' named entity 'Patterns' named entity 'BACKGROUND' named entity 'TRAUMA CENTERS' named entity 'HIGH' named entity 'INCIDENCE' named entity 'IMPACT' named entity 'insights' named entity 'multinational' named entity 'level 1 trauma centers' named entity 'TPF' named entity 'hit by cars' named entity 'level 1 trauma centers' named entity 'massive transfusion protocol' named entity 'hemodynamic' named entity 'intubation' named entity 'hemodynamic' named entity 'surgical treatment' named entity 'Glasgow Coma Score' named entity 'trauma centers' named entity 'plastic' named entity 'Qatar' named entity 'Accreditation Canada' named entity 'ISS' named entity 'Qatar' named entity 'National Trauma Data Bank' named entity 'interventional radiology' named entity 'abdomen' named entity 'pelvic fracture' named entity 'pelvic fracture' named entity 'injuries to the head' named entity 'Data analysis' named entity 'Qatar' named entity 'massive transfusion protocol' named entity 'life-threatening' named entity 'clinical presentation' named entity 'Revised trauma score' named entity 'clinical presentation' named entity 'pelvis' named entity 'ISS' named entity 'screening tool' named entity 'MTP' named entity 'emergency department' named entity 'acute kidney injury' named entity 'observational study' named entity 'demographic characteristics' named entity 'multiorgan dysfunction' named entity 'blood transfusion' named entity 'diastolic blood pressure' named entity 'orthopedic surgeons' named entity 'traumatic injuries' named entity 'Qatar' named entity 'clinical outcomes' named entity 'AKI' named entity 'Qatar' named entity 'burn surgery' named entity 'Revised Trauma Score' named entity 'Open reduction and internal fixation' named entity 'cardiac arrest' named entity 'observational study' named entity 'soft tissue injuries' named entity 'emergency department' named entity 'rate of mortality' named entity 'Trauma Quality Improvement Program' named entity 'RTS' named entity 'hemodynamic' named entity 'external fixation' named entity 'lacerations' named entity 'ATLS' named entity 'final analysis' named entity 'soft tissue'

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