Effects of early use of external pelvic compression on transfusion requirements and mortality in pelvic fractures.
Am J Surg
; 194(6): 720-3; discussion 723, 2007 Dec.
Article
em En
| MEDLINE
| ID: mdl-18005760
ABSTRACT
BACKGROUND:
We hypothesized that early use of external mechanical compression (EMC) reduces hemorrhage and mortality associated with pelvic fractures.METHODS:
Patients with pelvic fractures and one of the following risk factors for hemorrhage were studied retrospectively (1) unstable fracture pattern, or (2) any fracture in patients older than 55 years of age, or (3) fracture with systemic hypotension. Starting in November of 2003, EMC was performed using circumferential pelvic binders on patient arrival and continued for 24 to 72 hours. Patients who underwent EMC (n = 118) were compared with historical controls in the preceding year (n = 119).RESULTS:
Patients in the EMC and control groups had similar fracture patterns, age, and injury severity. EMC had no effect on mortality (23% vs 23%, P = .92), need for pelvic angioembolization (11% vs 15%, P = .35), or 24-hour transfusions (5.2 +/- 10 vs 4.6 +/- 9 U, P = .64).CONCLUSIONS:
Early EMC with pelvic binders does not reduce hemorrhage or mortality associated with pelvic fractures.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ossos Pélvicos
/
Técnicas Hemostáticas
/
Hemorragia Pós-Operatória
/
Fraturas Ósseas
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos