Predictors of mortality for complex fractures of the pelvic ring in the elderly: A twelve-year review from a German level I trauma center

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• 作者：Ishaq Ojodu^a ; ^b ; Tim Pohlemann^a ; Sascha Hopp^a ; Mika F.R. Rollmann^a ; Joerg H. Holstein^a ; Steven C. Herath^a ; ^{steven.herath@uks.eu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Pelvic fracture ; Elderly ; Mortality ; Predictors
• 刊名：Injury
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：46
• 期：10
• 页码：1996-1998
• 全文大小：245 K

文摘

To document mortality rate and predictors of mortality in elderly patients with complex pelvic fractures.

Methods

We reviewed a total of 84 subjects whose ages were above 70 years with complex pelvic fractures, admitted to our hospital from January 2001 to December 2012. A multivariate linear regression model was used to determine the predictors of mortality in the study population. The median age of the patients was 80.4 years (range 70–94 years). 65 of 84 (77%) patients were females. There were 72 Tile Type B fractures (86%) and 12 Type C fractures (14%). The most common associated injuries were thoracic, extremity and head injuries, with incidence of 13 (15%), 11 (13%), and 9 (11%), respectively.

Results

The mortality rate was 10% in our study population. The initial haemoglobin on admission (p < 0.01), the presence of blood vessel injuries (p < 0.01) and the number of PRBCs transfused within the first six hours after admission (p < 0.01) independently predicted mortality in elderly patients with complex pelvic fractures.

Conclusion

Although there is a downward trend in mortality in elderly patients with complex pelvic fractures, haemodynamic instability still has a significant impact on survival of those patients.