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Open Access

Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality

Sammy S Siada, James W Davis, Krista L Kaups, Rachel C Dirks, Kimberly A Grannis
DOI: 10.1136/tsaco-2017-000136 Published 27 December 2017
Sammy S Siada
Department of Surgery, Community Regional Medical Center, University of California, San Francisco-Fresno, Fresno, California, USA
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James W Davis
Department of Surgery, Community Regional Medical Center, University of California, San Francisco-Fresno, Fresno, California, USA
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Krista L Kaups
Department of Surgery, Community Regional Medical Center, University of California, San Francisco-Fresno, Fresno, California, USA
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Rachel C Dirks
Department of Surgery, Community Regional Medical Center, University of California, San Francisco-Fresno, Fresno, California, USA
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Kimberly A Grannis
Department of Surgery, Community Regional Medical Center, University of California, San Francisco-Fresno, Fresno, California, USA
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Article Figures & Data

Tables

  • Table 1

    Gustilo-Anderson’s classfication

    TypeDefinition
    IClean wound, <1 cm in length
    II>1 cm but <10 cm in length without extensive soft tissue damage, flaps, or avulsions
    III>10 cm in length, fractures open for >8 hours
  • Table 2

    Faringer soft tissue injury classification

    GradeWound
    IPerineal, perirectal, vaginal, posterior sacrum
    IIMedial thigh, groin crease
    IIIIliac crest, buttock
  • Table 3

    Baseline demographic data

    ISSGCSAge (years)Males
    200530123968%
    201629114268%
    P value0.870.67–0.98
    • GCS, Glasgow coma scale; ISS, injury severity score.

  • Table 4

    Distribution of Gustilo-Anderson’s grade of injury

    GradeNo. of patients from 2005 study (%)No. of patients from 2016 study (%)P value
    I9 (20)7 (28)0.48
    II16 (36)8 (32)0.72
    II19 (43)10 (40)0.80
  • Table 5

    Comparison of treatments and mortality between 2005 and 2016

    Study (n)Patients transfusedPelvic embolizationFecal diversionLength of stayMortality
    2005 (44)32 (73%)7 (16%)4 (9%)2220 (45%)
    2016 (25)17 (68%)10 (40%)3 (12%)214 (16%)
    P value0.680.0260.70–0.014
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Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality
Sammy S Siada, James W Davis, Krista L Kaups, Rachel C Dirks, Kimberly A Grannis
Trauma Surg Acute Care Open Dec 2017, 2 (1) e000136; DOI: 10.1136/tsaco-2017-000136

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Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality
Sammy S Siada, James W Davis, Krista L Kaups, Rachel C Dirks, Kimberly A Grannis
Trauma Surg Acute Care Open Dec 2017, 2 (1) e000136; DOI: 10.1136/tsaco-2017-000136
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Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality
Sammy S Siada, James W Davis, Krista L Kaups, Rachel C Dirks, Kimberly A Grannis
Trauma Surgery & Acute Care Open Dec 2017, 2 (1) e000136; DOI: 10.1136/tsaco-2017-000136
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