Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1900
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dc.contributor.authorMackay, Peter-
dc.contributor.otherBalogh, Z.-
dc.contributor.otherKing, K.L.-
dc.contributor.otherMcDougall, D.-
dc.contributor.otherMacKenzie, S.-
dc.contributor.otherEvans, J.A.-
dc.contributor.otherLyons, T.-
dc.contributor.otherDeane, S.A.-
dc.date.accessioned2020-12-07T23:13:22Z-
dc.date.available2020-12-07T23:13:22Z-
dc.date.issued2007-11-
dc.identifier.citationVolume 63, Issue 5, pp. 1066 - 1073en
dc.identifier.issn0022-5282en
dc.identifier.urihttps://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1900-
dc.description.abstractBACKGROUND: The severity of pelvic ring fractures (PRFs) can range from minor injury with low-energy mechanism to high-energy injury causing prehospital death. The purpose of this study was to prospectively describe the comprehensive pelvic fracture occurrence in an inclusive trauma system. METHODS: A 12-month prospective, population-based epidemiologic study was performed in the Hunter Region, New South Wales, Australia (population of 600,000, served by one Level I trauma center and 7 referring hospitals). Patient demographics, mechanism, injury severity, shock parameters, and outcomes were recorded prospectively. The database included all pelvic fractures from the region: high-energy pelvic fractures (HE-PRFs), low-energy pelvic fractures (LE-PRFs), and prehospital deaths (PD-PRFs). RESULTS: The incidence of PRF in the trauma system was 23 per 100,000 persons (138 fractures). The incidences of HE-PRF and LE-PRF were each 10 per 100,000 persons, whereas there were 3 PD-PRFs per 100,000. HE-PRF compared with LE-PRF occurred predominantly in men (64% vs. 20%, p < 0.05), younger persons (41 +/- 3 vs. 83 +/- 1 years, p < 0.05), those who had a higher Injury Severity Score (23 +/- 3 vs. 6 +/- 1, p < 0.05), and those with lower blood pressure (111 +/- 1 mm Hg vs. 153 +/- 1 mm Hg, p < 0.05), but the inhospital mortality rate was not statistically different (15% vs. 8%, p = NS). The overall mortality of the cohort was 23% (60% of those were from the PD-PRF group). The PRF-related mortality was 7% (HE-PRF: 7%; LE-PRF: 2%; PD-PRF: 33%), which was always attributable to bleeding. The incidence of demonstrated pelvic fracture-related arterial bleeding was 1.3 per 100,000 persons per year. CONCLUSIONS: LE-PRF and HE-PRF are equally frequent among hospital admissions. They represent two distinct demographic groups with similar mortality rate. Most PRF-related deaths occur prehospitally. Bleeding remains the primary cause of PRF-related mortality in all groups.en
dc.description.sponsorshipNursing & Midwifery Directorateen
dc.subjectChilden
dc.subjectNewborn and Infanten
dc.subjectAgeden
dc.titleThe epidemiology of pelvic ring fractures: a population-based studyen
dc.typeJournal Articleen
dc.identifier.doi10.1097/TA.0b013e3181589fa4en
dc.description.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/17993952/en
dc.identifier.journaltitleThe Journal of Traumaen
dc.type.studyortrialProspective Cohort Studyen
dc.originaltypeTexten
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.cerifentitytypePublications-
Appears in Collections:Health Service Research
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