Risk factors of pelvic bone fractures concurrent abdominal solid organ injuries

Abstract

Objective To evaluate the risk factors of pelvic bone fractures concurrent abdominal solid organ injuries by analyzing the clinical progression of the patients with pelvic bone fractures. Methods The clinical data of 436 patients with pelvic bone fractures were retrieved.Subjects were categorized based on injury types:solid organ versus non-solid organ.The types of injuries, clinical manifestations, treatments, injury severity scores(ISS) and clinical outcomes in the two groups were compared. Results There were 80 patients(18. 3%)subjected to solid organ injury.Fall from height occurred at greater distances(P< 0. 05)in patients that sustained solid organ injuries.The initial blood pressure was lower(P< 0. 05)and the ISS were significantly higher(P< 0. 01)in solid organ injury group.Shock diagnosed immediately upon emergency department arrival(OR ratio= 3. 024,P< 0. 05)and the increased ISS[odds ratio(OR)= 2. 137,P< 0. 05] were the risk factors for intra-abdominal solid organ injuries in trauma patients with pelvic bone fractures. Conclusion For the patients with traumatic pelvic fracture, it will be helpful to judge whether the patient has concurrent abdominal solid organ injuries by investigating the types of injuries, falling height, ISS and initial blood pressure as soon as possible. Key words: Abdominal injuries; Fractures; Pelvic bones