Multicentric Study of Patients with Pelvic Injury: Basic Analysis of the Study Group

PURPOSE OF THE STUDYThe aim of the study was to make a basic analysis of the patients treated for pelvic fractures in the year 2007 at 14 institutions in the Czech Republic and Slovakia. MATERIAL AND METHODSThe group investigated consisted of 474 patients treated in 2007.In a one-year prospective descriptive study, patients' data were recorded according to a unified protocol.They included age, gender, mechanism of injury, fracture type, associated injuries, method of treatment, post-operative complications, length of hospital stay, injury/surgery-to-standing time and number of deaths during primary hospitalization.The χ 2 test of independence in a contingency table was used to compare categorical data.The level of significance for the test was set at 5%. RESULTSThe group comprised 192 women and 282 men with an average age of 45.9 years (range, 15 to 95).In men, the frequency of pelvic fractures was significantly higher (p<0.001),because men significantly outnumbered women in the largest middle-age categories (30 to 59 years).Pelvic fractures were significantly higher only in women over 80 years of age.The most frequent cause of injury was a road traffic accident (237 patients, 50%).Significantly more men than women were injured in motorbike accidents (p=0.015),due to a fall from height (p=0.001) or by a falling object (p=0.040).Women more frequently suffered injury as a result of a suicidal attempt by jumping (p=0.051) or a simple fall (p<0.001).Type A2.2 fractures (115 patients, 24%; average age, 51.8 years) and type B2.1 (77 patients, 16%; average age, 43.5 years) were most frequent.In 248 patients (52%), a pelvic fracture was part of multiple trauma.These patients had an average ISS of 30 points.Conservative treatment was used in 287 patients (61%).In 71 patients, skeletal traction (30 patients, 6%), C-clamp (19 patients, 4%) or external fixation (22 patients, 5%) was temporarily applied during the primary treatment.Surgery was carried out in 187 patients (39%).The average operative time was 114 minutes (range, 45 to 315)Post-operative complications were recorded in 58 patients (30% of the surgically treated).The most frequent local complication was wound infection (11 patients, 6%).The average hospital stay was 27 days (range, 2 to 266); 181 patients (38%) required care at an anaesthesia and acute care department for an average of 14 days (range, 1 to 127).The injury/surgery-to-standing time was 30 days on average (range, 2 to 118 days).Twenty-six patients; nine women and 17 men (5%), died during primary hospitalization.Their average age was 62.5 years (74.1 years in women and 56.4 years in men).Práce vznikla za podpory rozvojového programu Ministerstva školství ČR 237388 "Vytvoření otevřeného multimediálního edukačního centra pro integraci výuky v rámci problem-based learning curricula pánve a pánevních orgánů" a grantu Interní grantové agentury Ministerstva zdravotnictví ND 9971-3 "Poruchy mikčních, sexuálních a defekačních funkcí u žen v aktivním věku po zlomenině pánve".