Assessing the Pelvic X-ray Findings of High-energy Multiple Trauma Patients in Emergency Department of Rajaee Trauma Hospital, Shiraz-October 2013 to May 2014

Abstract

1. Abstract <span style=font-size:10.0pt;font-family: times= new= roman,serif;mso-fareast-font-family:times= roman=>1.1. Background: Because of the significance of pelvic fracture, anteroposterior pelvic X-ray (PXR) is routinely performed for all patients referring to the emergency department with multiple trauma. But routine performance of PXR may have several complications and might not be necessary in all cases. Thus, we performed PXR selectively for patients. <span style=font-size:10.0pt;font-family: times= new= roman,serif;mso-fareast-font-family:times= roman=>1.2. Objectives: We aimed to assess the PXR findings in traumatized patients referring to emergency department of Rajaee Trauma Hospital, a level 1 triage center, by reviewing PXR findings of multiple trauma patients. <span style=font-size:10.0pt;font-family: times= new= roman,serif;mso-fareast-font-family:times= roman=>1.3. Methods: This prospective study was conducted in Rajaee Trauma hospital of Shiraz, the level one Trauma center in south of Iran during October 2013 to May 2014. Shiraz is the center of Fars Province with the population of 2 million and 5 million for the province. Four-hundred traumatic patients were recruited for the study. PXR was performed for selected patients according to the criteria of Rajaee Trauma Hospital. Demographic data, including age, sex, type of accident, and type of hip fracture was recorded. <span style=font-size:10.0pt;font-family: times= new= roman,serif;mso-fareast-font-family:times= roman=>1.4. Results: Most patients (80%) were men with a mean ± SD age of 36.1(17.5) years. The most frequent pelvic fractures were left superior and inferior pubic ramus (12.8 and 12.5%) followed by right inferior pubic ramus fracture (10.5%). The most frequent causes of injury included car turnover and car to pedestrian accident. Chi-square test revealed significant difference between men and women in motor to car accident, car to pedestrian accident, and car to car accident groups (P=0.02, 0.001 and 0.004, respectively). <span style=font-size:10.0pt;font-family: times= new= roman,serif;mso-fareast-font-family:times= roman=>1.5. Conclusion: <span style=font-size:10.0pt; font-family: times= new= roman,serif=>PXR is an appropriate diagnostic tool for pelvic fractures and is most proper to be selectively performed in patients with the criteria mentioned in the current study and more attention should be paid to superior and inferior pubic ramus fractures, as it was found to be the most frequent fractures observed in the present study. 2. Keywords: Emergency; Hospital; Multiple Trauma; Patients; Pelvic X-Ray; Radiography