Back to Search
Start Over
Evaluation of Pelvic Circular Compression Devices in Severely Injured Trauma Patients with Pelvic Fractures
- Source :
- Prehospital emergency care. 26(4)
- Publication Year :
- 2021
-
Abstract
- Background: The role of pelvic circumferential compression devices (PCCD) is to temporarily stabilize the pelvic ring, reduce its volume and to tamponade bleeding. The purpose of this study was to evaluate the effect of PCCDs on mortality and bleeding in severely injured trauma patients, using a large registry database.Methods: We performed a retrospective analysis of all patients registered in the Trauma Register DGU® between 2015 and 2016. The study was limited to directly admitted patients who were alive on admission, with an injury severity score (ISS) of 9 or higher, with an Abbreviated Injury Scale AISpelvis of 3-5, aged at least 16, and with complete status documentation on pelvic circular compression devices (PCCD) and mortality. A cohort analysis was undertaken of patients suffering from relevant pelvic fractures. Data were collected on mortality and requirements for blood transfusion. The observed outcome was compared with the expected outcome as derived from version II of the Revised Injury Severity Classification (RISC II) and adjusted accordingly. A Standardized Mortality Ratio (SMR) was also calculated.Results: A total of 9,910 patients were included. 1,103 of 9,910 patients suffered from a relevant pelvic trauma (AISpelvis = 3-5). Only 41% (454 cases) of these received a PCCD. PCCD application had no significant effect on mortality and did not decrease the need for blood transfusion in the multivariate regression analysis. However, in this cohort, the application of a PCCD is a general indicator for a critical patient with increased mortality (12.0% no PCCD applied vs. 23.2% PCCD applied prehospital vs. 27.1% PCCD applied in the emergency department). The ISS was higher in patients with PCCD (34.12 ± 16.4 vs. 27.9 ± 13.8; p
- Subjects :
- medicine.medical_specialty
Emergency Medical Services
Blood transfusion
medicine.medical_treatment
Hemorrhage
030204 cardiovascular system & hematology
Emergency Nursing
Pelvis
03 medical and health sciences
Fractures, Bone
0302 clinical medicine
Injury Severity Score
medicine
Humans
Registries
Pelvic Bones
Retrospective Studies
Abbreviated Injury Scale
business.industry
030208 emergency & critical care medicine
Emergency department
medicine.disease
Polytrauma
Surgery
Standardized mortality ratio
Emergency Medicine
Pelvic fracture
business
Cohort study
Subjects
Details
- ISSN :
- 15450066
- Volume :
- 26
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Prehospital emergency care
- Accession number :
- edsair.doi.dedup.....8668557683aacc2e6d8509c0644adf6a