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