J Korean Soc Traumatol Search


Journal of the Korean Society of Traumatology 2003;16(1):43-49.
Clinical Patterns of Pelvic Fracture at the Emergency Department
Young Jin Cheon, M.D., Sang Jin Lee, M.D. and Young Do Koh, M.D.*
Department of Emergency Medicine and Department of Orthopedic Surgery*
College of Medicine, Ewha Woman’s University, Seoul, Korea
응급실에 내원한 골반골절 환자의 예후와 관련된 요인에 관한 임상적인 고찰
이화여자대학교 응급의학교실, 정형외과학교실*
Backgrounds: The object of this retrospective study was to evaluate the clinical pattern of the patients with pelvic fracture due to blunt trauma. We analyzed the correlation between clinical symptoms, pelvic fracture classification, trauma score and ultimate outcome of treatment. In addition the purpose of the study was to establish a guideline for management in emergency departments. Methods: We performed a retrospective analysis of 90 patients with pelvic fractures during a 2 year period from January 2001 to December 2002 who presented in our emergency department. All data were collected from the medical records and were entered in a database for analysis on the basis of: age, sex, mechanism of injury, vital signs at admission, abbreviated injury scores (AIS), injury severity scores (ISS), anatomical grading of the fracture, clinical outcome (including hospital mortality), length of hospital stay, length of intensive-care-unit stay, requirement of crystalloid fluid, and blood product. The data were stratified into patients less than 55years of age (young group) and 55 years of age or older (old group). The data were also stratified according to the fracture grading and the trauma scores. Results: Among 90 patients, the numbers of male and female were similar (42:48). The most frequent fracture pattern was grade 3 (n=30, 33.3%), followed by grade 1. According to stratification by age, mortality in the older age group (n=25, 27.8%) was higher than it was in the younger group (p<0.05). However, there were no significant differences between the two groups as to the length of hospital stay, the admitting systolic blood pressure, the heart rate, and the fluid and blood product requirements. According to stratification based on the fracture grading system, the severe-fracture group (grade 3, n=30) showed higher mortality than the mild-fracture group (grades 1, 2 and 4). Also, systolic blood pressure at admission was significantly lower in the severe-fracture group than in the mild-fracture group. Stratification by using the AIS showed significant differences in the hospital mortality, the length of hospital stay, the admitting systolic blood pressure, and the requirement for fluid and blood products between the severely injured group (n=37, 41.1%; AIS (3 in any of head, thorax, abdomen) and the mild injured group. Conclusion: The severity of pelvic fracture is associated with the AIS and the associated injury. Correlations with age and fracture grade are weaker than the correlation with the AIS.
Key Words: Pelvic fracture; Injury Severity Score; AIS


Browse all articles >

Editorial Office
2619 Twincity-namsan, 366, Hangang-daero, Yongsan-gu, Seoul. 04323, Korea
Tel: +82-10-4391-0788    E-mail: office@jtraumainj.org                

Copyright © 2023 by The Korean Society of Traumatology.

Developed in M2PI

Close layer
prev next