Although stable pelvic fractures rarely lead to significant bleeding, there are several independent predictors of significant bleeding due to SPF, according to research published in the Archives of Surgery.
For their study, researchers assessed the medical records of SPF patients admitted to a trauma center from Jan. 1, 2002-June 30, 2007. They defined stable pelvic fractures as fractures not needing external or internal fixation and significant bleeding as the need for blood transfusion and/or intervention for bleeding control within 24 hours of admission. Group A included 280 patients without significant bleeding; group B included 23 patients with significant bleeding from a nonpelvic cause; and group C included 21 patients with significant bleeding from SPF.
A comparison of the three groups yielded the following results:
• Group C patients were older and had a lower hematocrit and systolic blood pressure on admission than Group A.
• Group C patients also had longer hospital stays and a higher mortality.
• Hematocrit of 30 percent or lower, pelvic hematoma on CT scan and systolic blood pressure of 90 mm Hg or lower were independent predictors of significant bleeding from SPF.
• All patients who exhibited all the previously mentioned independent predictors had significant bleeding. Patients who did not exhibit any predictors had no significant bleeding.
Read the study about significant bleeding from stable pelvic fractures.
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For their study, researchers assessed the medical records of SPF patients admitted to a trauma center from Jan. 1, 2002-June 30, 2007. They defined stable pelvic fractures as fractures not needing external or internal fixation and significant bleeding as the need for blood transfusion and/or intervention for bleeding control within 24 hours of admission. Group A included 280 patients without significant bleeding; group B included 23 patients with significant bleeding from a nonpelvic cause; and group C included 21 patients with significant bleeding from SPF.
A comparison of the three groups yielded the following results:
• Group C patients were older and had a lower hematocrit and systolic blood pressure on admission than Group A.
• Group C patients also had longer hospital stays and a higher mortality.
• Hematocrit of 30 percent or lower, pelvic hematoma on CT scan and systolic blood pressure of 90 mm Hg or lower were independent predictors of significant bleeding from SPF.
• All patients who exhibited all the previously mentioned independent predictors had significant bleeding. Patients who did not exhibit any predictors had no significant bleeding.
Read the study about significant bleeding from stable pelvic fractures.
Related Articles on OR Efficiency:
Four Simple Modifications in OR Led to More Efficient Robot-Assisted Laparoscopic Procedure
Enemy to OR Efficiency: Noise Pollution
Heart Device Provides Alternative to Surgery