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Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre

PURPOSE: We compared incidence, demographics, and injury mechanisms in severely injured patients with and without a pelvic ring fracture treated at a tertiary trauma centre. We also analyzed the changes in injury mechanisms that lead to high-energy pelvic trauma. METHODS: Data on severely injured ad...

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Autores principales: Toimela, Juhana, Brinck, Tuomas, Handolin, Lauri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016785/
https://www.ncbi.nlm.nih.gov/pubmed/31538218
http://dx.doi.org/10.1007/s00068-019-01210-5
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author Toimela, Juhana
Brinck, Tuomas
Handolin, Lauri
author_facet Toimela, Juhana
Brinck, Tuomas
Handolin, Lauri
author_sort Toimela, Juhana
collection PubMed
description PURPOSE: We compared incidence, demographics, and injury mechanisms in severely injured patients with and without a pelvic ring fracture treated at a tertiary trauma centre. We also analyzed the changes in injury mechanisms that lead to high-energy pelvic trauma. METHODS: Data on severely injured adult patients (New Injury Severity Score [NISS] ≥16) from Helsinki Trauma Registry over the years 2006–2017 were reviewed. Patients with a pelvic ring fracture (PRF) and those without (N-PRF) were analyzed. Further subgrouping regarding time of the accident (2006–2009, 2010–2013, 2014–2017) was made. A comparison between groups was performed according to age, age > 60, gender, American Society of Anesthesiologists classification, injury scoring and mechanism, and 30-day in-hospital mortality. RESULTS: We included 545 PRF and 1048 N-PRF patients. Pelvic ring fracture patients were more likely to be female (39% vs 22%, p < 0.001), to be more severely injured (NISS 35.2 vs 30.4, p < 0.001), injured due to a high fall (41% vs 25%, p < 0.001), to have self-inflicted injuries (23% vs 8%, p < 0.001), and to have higher 30-day in-hospital mortality (13% vs 9%, p = 0.005). During the study period, we noted increasing mean age and proportion of patients aged > 60, improvement in outcome (shown by decreasing 30-day in-hospital mortality rate) in both groups, and a decrease in motor vehicle accidents (MVAs) leading to pelvic trauma (30–16%). CONCLUSIONS: High-energy pelvic trauma can no longer be characterized as traffic accident injuries among young men. MVAs leading to pelvic trauma are decreasing and the most common injury mechanism is high fall. The patients are older and often female. Every fourth high-energy pelvic trauma was due to attempted suicide.
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spelling pubmed-80167852021-04-16 Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre Toimela, Juhana Brinck, Tuomas Handolin, Lauri Eur J Trauma Emerg Surg Original Article PURPOSE: We compared incidence, demographics, and injury mechanisms in severely injured patients with and without a pelvic ring fracture treated at a tertiary trauma centre. We also analyzed the changes in injury mechanisms that lead to high-energy pelvic trauma. METHODS: Data on severely injured adult patients (New Injury Severity Score [NISS] ≥16) from Helsinki Trauma Registry over the years 2006–2017 were reviewed. Patients with a pelvic ring fracture (PRF) and those without (N-PRF) were analyzed. Further subgrouping regarding time of the accident (2006–2009, 2010–2013, 2014–2017) was made. A comparison between groups was performed according to age, age > 60, gender, American Society of Anesthesiologists classification, injury scoring and mechanism, and 30-day in-hospital mortality. RESULTS: We included 545 PRF and 1048 N-PRF patients. Pelvic ring fracture patients were more likely to be female (39% vs 22%, p < 0.001), to be more severely injured (NISS 35.2 vs 30.4, p < 0.001), injured due to a high fall (41% vs 25%, p < 0.001), to have self-inflicted injuries (23% vs 8%, p < 0.001), and to have higher 30-day in-hospital mortality (13% vs 9%, p = 0.005). During the study period, we noted increasing mean age and proportion of patients aged > 60, improvement in outcome (shown by decreasing 30-day in-hospital mortality rate) in both groups, and a decrease in motor vehicle accidents (MVAs) leading to pelvic trauma (30–16%). CONCLUSIONS: High-energy pelvic trauma can no longer be characterized as traffic accident injuries among young men. MVAs leading to pelvic trauma are decreasing and the most common injury mechanism is high fall. The patients are older and often female. Every fourth high-energy pelvic trauma was due to attempted suicide. Springer Berlin Heidelberg 2019-09-19 2021 /pmc/articles/PMC8016785/ /pubmed/31538218 http://dx.doi.org/10.1007/s00068-019-01210-5 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Toimela, Juhana
Brinck, Tuomas
Handolin, Lauri
Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre
title Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre
title_full Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre
title_fullStr Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre
title_full_unstemmed Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre
title_short Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience from a tertiary trauma centre
title_sort evolution of high-energy pelvic trauma in southern finland: a 12-year experience from a tertiary trauma centre
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016785/
https://www.ncbi.nlm.nih.gov/pubmed/31538218
http://dx.doi.org/10.1007/s00068-019-01210-5
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