作者
Juan Duchesne, Todd W Costantini, Mansoor Khan, Ethan Taub, Peter Rhee, Bryan Morse, Nicholas Namias, Alon Schwarz, Joanne Graves, Dennis Y Kim, Erin Howell, Jason Sperry, Vincent Anto, Robert D Winfield, Martin Schreiber, Brandon Behrens, Benjamin Martinez, Shariq Raza, Mark Seamon, Danielle Tatum
发表日期
2019/7/1
期刊
Journal of Trauma and Acute Care Surgery
卷号
87
期号
1
页码范围
117-124
出版商
LWW
简介
BACKGROUND
Hemodynamically unstable patients with severe pelvic fracture are a significant challenge to trauma surgeons and have high mortality. Significant variability across institutions in hemorrhage control adjuncts used to quell pelvic bleeding has been demonstrated. However, the effect of these methods on time to definitive bleeding control, type of resuscitation given, and outcomes remains unknown. We sought to elucidate those effects.
METHODS
This was a multicenter retrospective review of severe pelvic fracture patients in shock between 2011 and 2016. Shock was defined as systolic blood pressure less than 90 mm Hg, heart rate greater than 120 beats per minute, or base deficit less than− 5. Definitive bleeding control was defined as time to surgical control in the operating room or embolization by interventional radiology. Significance level was at p less than 0.05.
RESULTS
A total of 279 severe …
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J Duchesne, TW Costantini, M Khan, E Taub, P Rhee… - Journal of Trauma and Acute Care Surgery, 2019