Single-center trauma registry study of 1,545 blunt pelvic fracture patients over 8 years, using stepwise logistic regression to identify which clinical variables predict associated abdominal injuries, major hemorrhage, need for angiographic embolization, and death.
When you see a pelvic fracture patient with AIS ≥4 and ISS >25, anticipate major hemorrhage and activate angiography early — the combined relative risk for therapeutic embolization is 16-fold.
Remember that in older patients (≥55), a pelvic fracture should also prompt consideration of thoracic aortic imaging given a nearly 5-fold increased risk of aortic rupture.
Single-center trauma registry study of 1,545 blunt pelvic fracture patients over 8 years, using stepwise logistic regression to identify which clinical variables predict associated abdominal injuries, major hemorrhage, need for angiographic embolization, and death.
When you see a pelvic fracture patient with AIS ≥4 and ISS >25, anticipate major hemorrhage and activate angiography early — the combined relative risk for therapeutic embolization is 16-fold.
Remember that in older patients (≥55), a pelvic fracture should also prompt consideration of thoracic aortic imaging given a nearly 5-fold increased risk of aortic rupture.