Causes and associations with mortality in patients with pelvic ring injuries with haemorrhagic shock

Background High energy pelvic ring injuries are associated with significant morbidity and mortality and can be accompanied by haemorrhagic shock following associated vascular injury. This study evaluated the causes and predictors of mortality in haemodynamically unstable pelvic fractures. Methods Th...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2023-10, Vol.33 (7), p.2971-2979
Main Authors: Walters, Samuel, Cuthbert, Rory, Ward, Jonathan, Arshad, Homa, Culpan, Paul, Perkins, Zane, Tai, Nigel, Bates, Peter
Format: Article
Language:English
Subjects:
Hemorrhagic shock
Injuries
Medicine
Medicine & Public Health
Mortality
Multiple organ dysfunction syndrome
Original Article
Surgical Orthopedics
Trauma
Traumatic Surgery
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Summary:Background High energy pelvic ring injuries are associated with significant morbidity and mortality and can be accompanied by haemorrhagic shock following associated vascular injury. This study evaluated the causes and predictors of mortality in haemodynamically unstable pelvic fractures. Methods This retrospective observational study at a Major Trauma Centre reviewed 938 consecutive adult patients (≥ 18yrs) with pelvic ring injuries between December 2014 and November 2018. Patients with features of haemorrhagic shock were included, defined as: arrival Systolic BP 
ISSN:1432-1068
1633-8065
1432-1068
DOI:10.1007/s00590-023-03516-y