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AIM:To determine the association of unstable pelvic ring injuries with trauma code status.METHODS:A retrospective review of all pelvic ring injuries at a single academic center from July 2010 to June 2013 was performed.The trauma registry was used to identify level 1 and level 2 trauma codes for each injury.The computed tomography scans in all patients were classified as stable or unstable using the Abbreviated Injury Scale.Pelvic injury classifications in level 1 and level 2 groups were compared.Patient disposition at discharge in level 1 and level 2 groups were also compared.RESULTS:There were 108 level 1 and 130 level 2 blunt trauma admissions.In the level 1 group,67%of pelvic injuries were classified as stable fracture patterns and 33%were classified as unstable.In the level 2 group,62%of pelvic injuries were classified as stable fracture patterns and 38%were classified as unstable.level 1 trauma code was not associated with odds of having an unstable fracture pattern(OR=0.83,95%CI:0.48-1.41,P=0.485).In the level 1 group with unstable pelvic injuries,33%were discharged to home,36%to a rehabilitation facility,and 32%died.In the level 2 group with unstable pelvic injuries,65%were discharged to home,31%to a rehabilitation facility,and 4%died.For those with unstable pelvic fractures(n=85),assignment of a level 2 trauma code was associated with reduced odds of death(OR=0.07,95%CI:0.01-0.35,P=0.001)as compared to being discharged to home.CONCLUSION:Trauma code level assignment is not correlated with severity of pelvic injury.Because an unstable pelvis can lead to hemodynamic instability,these injuries may be undertriaged.
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篇名 Criteria for level 1 and level 2 trauma codes:Are pelvic ring injuries undertriaged?
来源期刊 世界骨科杂志 学科 医学
关键词 PELVIC ring TRAUMA code TRIAGE UNSTABLE PELVIS Abbreviated injury scale
年,卷(期) 2016,(8) 所属期刊栏目
研究方向 页码范围 481-486
页数 6页 分类号 R
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PELVIC
ring
TRAUMA
code
TRIAGE
UNSTABLE
PELVIS
Abbreviated
injury
scale
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研究去脉
引文网络交叉学科
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期刊影响力
世界骨科杂志:英文版
月刊
2218-5836
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
404
总下载数(次)
1
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0
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