Associated abdominal injuries do not influence quality of care in pelvic fractures—a multicenter cohort study from the German Pelvic Registry

Table 2 Comparison of the clinical course between patients with an isolated pelvic fracture (group A) and patients with a combined abdominal/pelvic injury (group B). Patients in group B were operated significantly more often due to their pelvic fracture. The time until emergency stabilization was shorter in group B, while the time until definitive pelvic surgery was longer. The clinical course was significantly prolonged with increased rates of morbidity and mortality.

	Group A	Group B	p value
Number (n)	8.151	3.537
Hemodynamical status at admission			< 0.001*
Hb <8.0g/dl	12.2 % (6/49)	24.7 % (174/705)
RRsyst. <100mmHg	17.1% (7/41)	32.7 % (224/686)
Operative pelvic stabilization
Emergency stabilization	6.7 % (547)	34.4 % (1.216)	<0.001*
Definitive pelvic fixation	29.9 % (2.440)	53.4 % (1.888)	<0.001*
Time until emergency stabilization (min)	113 ± 97 [2 – 420]	76 ± 76 [2 – 406]	<0.001^#
Time until definitive fixation (days)	5.4 ± 8.0 [0 – 42]	5.2 ± 5.5 [0 – 43]	0.19^#
Clinical course
Length of hospital stay (days)	13 ± 14 [0 – 213]	27 ± 25 [0 – 287]	<0.001^#
Overall morbidity	9.9 % (805)	21.9 % (776)	<0.001*
Osteosynthesis-associated morbidity	7.6 % (186)	10.6 % (201)	0.001*
Overall mortality	1.9 % (157)	8.0 % (287)	<0.001*

ISSN: 1749-7922