Mortality Risk in Polytrauma Patients with Pelvic Injury
Authors:
Grill R.ihash2ihash4ihash6ihash8ihash10ihash12 1+2 1+3 1+4 1+5 1+3 1+6 1+4
Authors‘ workplace:
Centrum pro integrované studium pánve 3. LF UK, Praha, vedoucí lékař: MUDr. Robert Grill, Ph. D.
1; Urologická klinika 3. LF UK a FNKV, Praha, přednosta: doc. MUDr. Michal Urban, CSc.
2; Klinika anestezie a resuscitace 3. LF UK a FNKV, Praha, přednosta: prof. MUDr. Jan Pachl, CSc.
3; Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha, přednosta: doc. MUDr. Martin Krbec, CSc. 5Traumatologická klinika Úrazové nemocnice, Brno, přednosta: prof. MUDr. Peter Wendsche, CSc.
4; Ústav anatomie 3. LF UK, Praha, přednosta: prof. MUDr. Josef Stingl, DrSc.
6
Published in:
Rozhl. Chir., 2009, roč. 88, č. 2, s. 75-78.
Category:
Monothematic special - Original
Overview
The aim of the study is to present results showing whether a pelvic injury in polytrauma patients means a high risk of mortality. The retrospective study (January 2001 – December 2006) included 453 polytrauma patients (130 women, 323 men) with ISS exceeding 16 points, hospitalized at the authors’ department (Traumacentre Level I). The age of patients ranged between 13–93 years, the mean age of the whole group was 41 years (43 years in women, 40 years in men). The highest percentage of the deceased was recorded in the subgroup with abdominal injury (35%) and in the subgroup with pelvic injury (31%), the lowest in the subgroup without abdominal injury (20%). A significant difference was recorded between the numbers of deceased patients with and without abdominal trauma (p < 0.001), and between the numbers of patients with and without pelvic injury (p = 0.046). The results of the study have demonstrated a significantly higher rate of mortality in polytrauma patients with ISS > 16 points, with a simultaneous pelvic injury as compared to the patients without pelvic injury.
Key words:
pelvic injury – mortality risk – polytrauma
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Surgery Orthopaedics Trauma surgeryArticle was published in
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