TY  - JOUR
PY  - 2015//
TI  - Predictors of mortality for complex fractures of the pelvic ring in the elderly: A twelve-year review from a German level I trauma center
JO  - Injury
A1  - Ojodu, Ishaq
A1  - Pohlemann, Tim
A1  - Hopp, Sascha
A1  - Rollmann, Mika F. R.
A1  - Holstein, Joerg H.
A1  - Herath, Steven C.
SP  - 1996
EP  - 1998
VL  - 46
IS  - 10
N2  - STUDY OBJECTIVE: To document mortality rate and predictors of mortality in elderly patients with complex pelvic fractures. <br><br>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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0020-1383
UR  - http://dx.doi.org/10.1016/j.injury.2015.07.034
ID  - ref1
ER  -