응급실에 내원한 골반골절 환자의 사망률 및 예후와 관련된 요인에 관한 연구

• Published in: Daehan oe'sang haghoeji Vol. 17; no. 2; pp. 174 - 180
• Main Authors: 윤순영, Soon Young Yun, 배현아, Hyun A Bae, 이혜진, Hye Jin Lee, 전영진, Young Jin Cheon
• Format: Journal Article
• Language: Korean
• Published: 대한외상학회 30.12.2004
• Subjects: AIS; ISS; Mortality; Pelvic fracture
• ISSN: 1738-8767; 2287-1683

Background: The object of this retrospective study was to evaluate the clinical characteristics of the patients with pelvic fracture due to blunt trauma. We analyzed the correlation between clinical symptoms, classification of pelvic fracture, trauma score and mortality. And we aimed to establish the guideline of management in emergency departments. Methods: We performed a retrospective analysis of 133 patients with pelvic fracture during 10-year period (from January 1994 to December 2003) who were presented in our emergency department. We collected data from the medical records and made a database for analysis of following: age, sex, mechanism of injury, vital sign 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. The data were stratified into patients less than 55 years of age (young group) and 55 years or older (old group). The data were also stratified according to fracture grading and trauma scores. Results: Grade 4 fracture was the most frequent pattern(n=37, 27.8%), followed by grade 3. According to stratification by age, mortality of older age group was higher than younger group (p<0.001). But there was no significant difference between the two groups in length of hospital stay, initial systolic blood pressure, heart rate and fluid and blood product requirements. According to stratification by fracture grading system, severely fractured group (grade 4, n=37) showed higher mortality than mild group (grade 1, 2 and 3). Stratification by AIS showed significant difference in the hospital mortality and length of hospital stay, initial systolic blood pressure, requirement of fluid between the severely injured group (AIS≥3 in any part of head, thorax, abdomen) and mild injured group. Conclusion: The mortality of pelvic fracture is associated with age, AIS and mental status at arrival.