Pelvic fractures

An analysis of factors affecting prehospital triage and patient outcome

Mark A. Fox, Eugene C. Mangiante, Timothy C. Fabian, Guy R. Voeller, Kenneth A. Kudsk, Eugene C. Mangiante

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Using an established prehospital regional triage protocol, 175 patients sustaining fractures of the pelvis were managed in a level one trauma center during a 38-month interval. The majority of injuries (51.7%) were caused by motor vehicle accidents and involved an average trauma score (TS) of 13 and an average injury severity score (ISS) of 24. The overall mortality was 16%; 43.5% had open fractures, 13.2% had closed fractures, and 30.6% had been in pedestrian accidents. Significant risk factors for mortality were age, blood pressure on admission, associated injuries, and the presence of an open pelvic fracture. It appears that TS alone is not reliable in prehospital triage of patients with pelvic fractures. Age and mechanism of injury may better identify the patient at risk for morbidity and mortality

Original languageEnglish (US)
Pages (from-to)785-788
Number of pages4
JournalSouthern Medical Journal
Volume83
Issue number7
DOIs
StatePublished - Jan 1 1990

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Triage
Statistical Factor Analysis
Wounds and Injuries
Open Fractures
Accidents
Mortality
Closed Fractures
Injury Severity Score
Trauma Centers
Motor Vehicles
Pelvis
Blood Pressure
Morbidity

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Fox, M. A., Mangiante, E. C., Fabian, T. C., Voeller, G. R., Kudsk, K. A., & Mangiante, E. C. (1990). Pelvic fractures: An analysis of factors affecting prehospital triage and patient outcome. Southern Medical Journal, 83(7), 785-788. https://doi.org/10.1097/00007611-199007000-00017

Pelvic fractures : An analysis of factors affecting prehospital triage and patient outcome. / Fox, Mark A.; Mangiante, Eugene C.; Fabian, Timothy C.; Voeller, Guy R.; Kudsk, Kenneth A.; Mangiante, Eugene C.

In: Southern Medical Journal, Vol. 83, No. 7, 01.01.1990, p. 785-788.

Research output: Contribution to journalArticle

Fox, MA, Mangiante, EC, Fabian, TC, Voeller, GR, Kudsk, KA & Mangiante, EC 1990, 'Pelvic fractures: An analysis of factors affecting prehospital triage and patient outcome', Southern Medical Journal, vol. 83, no. 7, pp. 785-788. https://doi.org/10.1097/00007611-199007000-00017
Fox, Mark A. ; Mangiante, Eugene C. ; Fabian, Timothy C. ; Voeller, Guy R. ; Kudsk, Kenneth A. ; Mangiante, Eugene C. / Pelvic fractures : An analysis of factors affecting prehospital triage and patient outcome. In: Southern Medical Journal. 1990 ; Vol. 83, No. 7. pp. 785-788.
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