Journal article
Delay of fixation increases 30-day complications and mortality in traumatic pelvic ring injuries
European journal of orthopaedic surgery & traumatology, Vol.34(7), pp.3431-3437
10/2024
DOI: 10.1007/s00590-023-03589-9
PMID: 37318555
Abstract
PurposeWhile decreased time to fixation in femur fractures improves mortality, it remains unclear if the same relationship exists for pelvic fractures. The National Trauma Data Bank (NTDB) is a data repository for trauma hospitals in the United States (injury characteristics, perioperative data, procedures, 30-day complications), and we used this to investigate early, significant complications after pelvic-ring injuries.MethodsThe NTDB (2015-2016) was queried to capture operative pelvic ring injuries in adult patients with injury severity score (ISS) >= 15. Complications included medical and surgical complications, as well as 30-day mortality. Multivariable logistic regression was used to investigate the association between days to procedure and complications after adjusting for demographic characteristics and comorbidities.Results2325 patients met inclusion criteria. 532 (23.0%) sustained complications, and 72 (3.2%) died within the first 30 days. The most common complications were deep vein thrombosis (DVT) (5.7%), acute kidney injury (AKI) (4.6%), and unplanned intensive care unit (ICU) admission (4.4%). In a multivariate analysis, days to procedure was independently significantly associated with complications, with an adjusted odds ratio (95% confidence interval) of 1.06 (1.03-1.09, P < 0.001), best interpreted as a 6% increase in the odds of complication or death for each additional day.ConclusionTime to pelvic fixation is a significant and modifiable risk factor for major complications and death. This suggests we should prioritize time to pelvic fixation on trauma patients to minimize mortality and major complications.
Details
- Title: Subtitle
- Delay of fixation increases 30-day complications and mortality in traumatic pelvic ring injuries
- Creators
- Michelle M. Lawson - Oregon Health & Science UniversityDanielle F. Peterson - Oregon Health & Science UniversityDarin M. Friess - Oregon Health & Science UniversityMackenzie R. Cook - Oregon Health & Science UniversityZachary M. Working - Oregon Health & Science University
- Resource Type
- Journal article
- Publication Details
- European journal of orthopaedic surgery & traumatology, Vol.34(7), pp.3431-3437
- DOI
- 10.1007/s00590-023-03589-9
- PMID
- 37318555
- NLM abbreviation
- Eur J Orthop Surg Traumatol
- ISSN
- 1633-8065
- eISSN
- 1432-1068
- Publisher
- Springer Nature
- Number of pages
- 7
- Language
- English
- Date published
- 10/2024
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984949465002771
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