Pelvic Ring Injury Mortality: Are We Getting Better?

Objectives: To determine if changes in pelvic trauma care and treatment protocols have affected overall mortality rates after pelvic ring injury. Design: Retrospective cohort study. Setting: Level I trauma center. Patients/Participants: A total of 3314 patients with pelvic ring injuries who presented to a single referral center from 1999 to 2018 were included in the study. Intervention: Pelvic ring management, years 1999-2006 versus years 2007-2018. Main Outcome Measurements: In hospital mortality. Other examined variables included change in patient demographics, fracture characteristics, date of injury, associated injuries, length of hospital stay, Abbreviated Injury Severity Score. Results: The composite mortality rate was 6.5% (214/3314). The earliest cohort presented a mortality rate of 9.1% [111/1224; 95% confidence interval (CI), 7.6%–10.8%] compared with the more recent cohort mortality rate of 4.9% (103/2090; 95% CI, 4.1%–5.9%). Overall mortality was significantly lower in the more recent period, a risk difference of 4.1% (95% CI, 2.3%–6.1%; P
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research