지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 19 - 24 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study is to evaluate treatment outcomes and mortality risks associated with hemodynamic instability caused by severe pelvic fracture in a regional trauma center. Methods: The medical charts of 44 patients with hemodynamic instability due to pelvic fractures who were admitted to a regional trauma center from January 2014 to May 2017 were analyzed retrospectively. Results: The mean age was 61.8 years, and the mean injury severity score was 39.1. Twenty-six patients (59.1%) were transferred from other hospitals, and the median time from injury to emergency room arrival was 115.5 minutes. Preperitoneal pelvic packing, pelvic angiography, and external pelvic fixation were performed in 38 patients (86.4%) for hemostasis. The mortality rate was 52.3%, and 15 patients (34.1%) died from hemorrhage. Logistic regression analysis showed that initial low systolic blood pressure and packed red blood cell (PRBC) requirement were independent risk factors associated with mortality. PRBC requirement for four hours and application of emergent hemostatic procedures were independent factors associated with hemorrhage-induced mortality. Conclusion: Emergency procedures for hemostasis should be performed immediately for patients with hemodynamic instability due to pelvic fracture, and they should be transferred to a regional trauma center as soon as possible. (J Acute Care Surg 2018;8:19-24)
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Costantini TW / 2016 / Current management of hemorrhage from severe pelvic fractures: Results of an American Association for the Surgery of Trauma multi-institutional trial / J Trauma Acute Care Surg 80:717~723
Biffl WL / 2001 / Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fractures / Ann Surg 233:843~850
Cothren CC / 2007 / Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift / J Trauma 62:834~839
Eastridge BJ / 2002 / The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions / J Trauma 53:446~450
Suzuki T / 2009 / Pelvic packing or angiography: competitive or complementary? / Injury 40:343~353
Biffl WL / 2001 / Evolution of a multidisciplinary clinical pathway for the management of unstable patients with pelvic fractures / Ann Surg 233:843~850
Cothren CC / 2007 / Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift / J Trauma 62:834~839
Eastridge BJ / 2002 / The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions / J Trauma 53:446~450
Suzuki T / 2009 / Pelvic packing or angiography: competitive or complementary? / Injury 40:343~353
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Current management for patients with hemodynamic instability due to pelvic fracture in Korean regional trauma centers: multi-institutional trial
대한외과학회 학술대회 초록집
2019 .10
-
A Study on the Mortality of Patients with Pelvic Fractures
대한외과학회 학술대회 초록집
2017 .11
-
Factors affecting the prognosis of patients with traumatic pelvic bone fractures with hemodynamic instability: multi-center study
대한외과학회 학술대회 초록집
2019 .10
-
Predictors of Early Mortality in Trauma Patients: A Five-year Retrospective Study at Regional Trauma Center
대한외과학회 학술대회 초록집
2020 .11
-
Increased Mortality in Young-Onset Parkinson’s Disease
Journal Of Movement Disorders
2021 .09
-
Epidemiology of Pelvic Ring Fractures in a Level 1 Trauma Center in the Netherlands
Hip and Pelvis
2017 .01
-
Pelvic Injury in Multiple Trauma Patients
대한외과학회 학술대회 초록집
2022 .11
-
Essential Factors in Predicting the Need for Angio-Embolization in the Acute Treatment of Pelvic Fracture with Hemorrhage
Journal of trauma and injury : JTI
2019 .01
-
Factors Impacting Mortality in Geriatric Patients with Acute Spine Fractures: A 12-Year Study of 613 Patients in Singapore
Asian Spine Journal
2019 .01
-
Association of Serum Lactate Levels Measured in the Emergency Department with 30-Day Mortality in Older Patients with Unilateral Hip Fractures
Annals of geriatric medicine and research
2024 .09
-
Mortality Trends in Chest-Abdominal Trauma Patients Before and After the Establishment of Trauma Centers in South Korea
Journal of Acute Care Surgery
2024 .03
-
Epidemiology of Trauma Patients and Analysis of 268 Mortality Cases: Trends of a Single Center in Korea
Yonsei Medical Journal
2015 .01
-
Mortality-Related Risk Factors in Geriatric Patients with Hip Fracture
Annals of geriatric medicine and research
2023 .06
-
Identification of risk factors for mortality in COVID-19 patients
Acute and Critical Care
2020 .01
-
비외상센터에서 외상센터로의 전원이 예후에 미치는 영향
대한응급의학회지
2018 .01
-
The Effect of Trauma Team Approach on the Management of Hemodynamically Unstable Pelvic Bone Fracture: Retrospective Comparative study
Journal of trauma and injury : JTI
2016 .01
-
Public-health impact of outdoor air pollution for 2nd air pollution management policy in Seoul metropolitan area, Korea
대한직업환경의학회지
2015 .02
-
한국의 중증외상 사망률의 지역적 차이에 대한 비교 연구
한국응급구조학회지
2021 .12
-
Association of Preoperative Risk Factors and Mortality in Older Patients following Emergency Abdominal Surgery: A Retrospective Cohort Study
Annals of geriatric medicine and research
2021 .12
-
권역외상센터가 소아 중증외상환자의 임상적 결과에 미치는 영향: 단일 기관 후향적 연구
대한응급의학회지
2020 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0