Characteristics of pelvic injuries in a health region of New Zealand

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-04-18 DOI:10.1016/j.jcot.2025.103022

Anna Sayers , Sheena Moosa , Ishani Soysa , Grant Christey

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引用次数: 0

Abstract

Background

Pelvic fractures involve a high volume of patients with low injury severity yet they are rarely described in the literature despite placing a considerable burden on hospital resources. This study aims to describe the demographics, mechanisms of injury, management and outcomes in patients who sustained pelvic trauma of all severities in a health region in New Zealand.

Methods

A retrospective analysis of Te Manawa Taki Trauma Registry data between January 1, 2014 and December 31, 2023 was conducted. Included are patients admitted to hospital with injuries to the pelvic ring and/or acetabula classified with the Abbreviated Injury Scale.

Results

A total of 3163 events were recorded and 53.5 % sustained severe pelvic injuries. The mean age was 45.9 years, 52 % male and 83.2 % non-Māori. The incidence throughout the study period averaged 33.7 per 100,000; however, in the final 3 years, the average incidence decreased to 25.9. Incidents most commonly occurred on streets/highways (46.5 %) and in the home (24.6 %). The mechanism of injury was blunt in 99.5 % of cases. Of the total, 76 % involved the pelvic ring, while 23.8 % were acetabular injuries. Additionally, 2.1 % of injuries were open. Posterior arch disruption was seen in 54 % of pelvic ring fractures, with 6.1 % showing complete disruption. The overall mortality rate for trauma admissions was 1.1 %, and 53.6 % of these patients had concurrent pelvic injuries. The case fatality rate of patients with pelvic injuries was 4.96 %. The mean length of stay was 12.1 days.

Conclusion

Pelvic fractures of different severities are frequently associated with high energy mechanisms of injury and represent a significant burden on patients, their families/whānau and healthcare services. Clear preventative measures and care pathways are needed to reduce incidence and minimise morbidity and mortality.

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新西兰某卫生地区盆腔损伤的特点

背景骨盆骨折涉及大量低损伤严重程度的患者，尽管对医院资源造成相当大的负担，但文献中很少对其进行描述。本研究旨在描述新西兰卫生地区所有严重骨盆创伤患者的人口统计、损伤机制、管理和结果。方法回顾性分析2014年1月1日至2023年12月31日Te Manawa Taki创伤登记资料。其中包括因盆腔环和/或髋臼损伤而入院的患者，这些患者的损伤程度按简略损伤分级。结果共发生3163例，其中53.5%为重度盆腔损伤。平均年龄45.9岁，男性52%，83.2% non-Māori。在整个研究期间，发病率平均为每10万人33.7例；然而，在最后3年，平均发病率下降到25.9。事故最常发生在街道/高速公路（46.5%）和家中（24.6%）。损伤机制为钝性，占99.5%。其中76%涉及骨盆环，23.8%为髋臼损伤。此外，2.1%的伤口是开放性的。后弓断裂见于54%的骨盆环骨折，6.1%表现为完全断裂。创伤入院的总死亡率为1.1%，53.6%的患者并发盆腔损伤。盆腔损伤患者病死率为4.96%。平均住院时间为12.1天。结论不同严重程度的骨盆骨折往往与高能量损伤机制相关，给患者、家属/whānau和医疗服务带来了沉重的负担。需要明确的预防措施和护理途径，以减少发病率并尽量减少发病率和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.