Standardised multidisciplinary protocol for haemodynamically unstable pelvic fractures.
نویسندگان
چکیده
PURPOSE To review treatment results of 29 patients with haemodynamically unstable pelvic fractures after implementation of a standardised multidisciplinary protocol. METHODS Records of 14 men and 15 women aged 14 to 84 (mean, 46) years who were treated for haemodynamically unstable closed (n=27) or open (n=2) pelvic fractures were reviewed. The survival rates before and after implementation of a standardised protocol were compared. RESULTS Of these 29 patients, 19 survived, 6 died of exsanguination, and 4 died of multi-organ failure. Survival was significantly improved after implementation of the protocol (66% vs. 31%, p=0.0006). CONCLUSION A standardised protocol involving a dedicated multidisciplinary team for management of haemodynamically unstable pelvic fractures improved survival.
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عنوان ژورنال:
- Journal of orthopaedic surgery
دوره 22 2 شماره
صفحات -
تاریخ انتشار 2014