TY - JOUR
T1 - Pelvic ring fractures
T2 - Has mortality improved following the implementation of damage control resuscitation?
AU - Fitzgerald, Caitlin A.
AU - Morse, Bryan C.
AU - Dente, Christopher J.
N1 - Publisher Copyright:
© 2014 Elsevier Inc.All rights reserved.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Methods A retrospective chart review was performed in an urban level I trauma center of all patients who sustained open or closed pelvic ring fractures between 2002 and 2012.Background Over the last 10 years, the paradigm of damage control resuscitation (DCR) has been associated with improved patient outcomes. This study investigates the outcomes of both closed and open pelvic ring fractures at a single institution before and after the formal implementation of DCR principles.Results Two thousand two hundred forty-seven patients presented with pelvic fractures between 2002 and 2012. Overall mortality was 10% (n = 212). Only 8% of all patients with closed fractures required DCR compared with 28% of patients with open fractures. There was no difference in mortality when comparing DCR and pre-DCR cohorts for either open or closed pelvic fractures.Conclusions Interestingly, although DCR seems to lead to more efficient initial resuscitations, further improvements in patient mortality were not realized with formal implementation of DCR principles.
AB - Methods A retrospective chart review was performed in an urban level I trauma center of all patients who sustained open or closed pelvic ring fractures between 2002 and 2012.Background Over the last 10 years, the paradigm of damage control resuscitation (DCR) has been associated with improved patient outcomes. This study investigates the outcomes of both closed and open pelvic ring fractures at a single institution before and after the formal implementation of DCR principles.Results Two thousand two hundred forty-seven patients presented with pelvic fractures between 2002 and 2012. Overall mortality was 10% (n = 212). Only 8% of all patients with closed fractures required DCR compared with 28% of patients with open fractures. There was no difference in mortality when comparing DCR and pre-DCR cohorts for either open or closed pelvic fractures.Conclusions Interestingly, although DCR seems to lead to more efficient initial resuscitations, further improvements in patient mortality were not realized with formal implementation of DCR principles.
KW - Damage control resuscitation
KW - Patient mortality
KW - Pelvic ring fractures
UR - http://www.scopus.com/inward/record.url?scp=84916624592&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2014.09.002
DO - 10.1016/j.amjsurg.2014.09.002
M3 - Article
C2 - 25440492
AN - SCOPUS:84916624592
SN - 0002-9610
VL - 208
SP - 1083
EP - 1090
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 6
ER -