PMID- 31538218
OWN - NLM
STAT- MEDLINE
DCOM- 20211015
LR  - 20220601
IS  - 1863-9941 (Electronic)
IS  - 1863-9933 (Print)
IS  - 1863-9933 (Linking)
VI  - 47
IP  - 2
DP  - 2021 Apr
TI  - Evolution of high-energy pelvic trauma in southern Finland: a 12-year experience 
      from a tertiary trauma centre.
PG  - 541-546
LID - 10.1007/s00068-019-01210-5 [doi]
AB  - PURPOSE: We compared incidence, demographics, and injury mechanisms in severely 
      injured patients with and without a pelvic ring fracture treated at a tertiary 
      trauma centre. We also analyzed the changes in injury mechanisms that lead to 
      high-energy pelvic trauma. METHODS: Data on severely injured adult patients (New 
      Injury Severity Score [NISS] >/=16) from Helsinki Trauma Registry over the years 
      2006-2017 were reviewed. Patients with a pelvic ring fracture (PRF) and those 
      without (N-PRF) were analyzed. Further subgrouping regarding time of the accident 
      (2006-2009, 2010-2013, 2014-2017) was made. A comparison between groups was 
      performed according to age, age > 60, gender, American Society of 
      Anesthesiologists classification, injury scoring and mechanism, and 30-day 
      in-hospital mortality. RESULTS: We included 545 PRF and 1048 N-PRF patients. 
      Pelvic ring fracture patients were more likely to be female (39% vs 22%, 
      p < 0.001), to be more severely injured (NISS 35.2 vs 30.4, p < 0.001), injured 
      due to a high fall (41% vs 25%, p < 0.001), to have self-inflicted injuries (23% 
      vs 8%, p < 0.001), and to have higher 30-day in-hospital mortality (13% vs 9%, 
      p = 0.005). During the study period, we noted increasing mean age and proportion 
      of patients aged > 60, improvement in outcome (shown by decreasing 30-day 
      in-hospital mortality rate) in both groups, and a decrease in motor vehicle 
      accidents (MVAs) leading to pelvic trauma (30-16%). CONCLUSIONS: High-energy 
      pelvic trauma can no longer be characterized as traffic accident injuries among 
      young men. MVAs leading to pelvic trauma are decreasing and the most common 
      injury mechanism is high fall. The patients are older and often female. Every 
      fourth high-energy pelvic trauma was due to attempted suicide.
FAU - Toimela, Juhana
AU  - Toimela J
AUID- ORCID: 0000-0002-9676-7868
AD  - Department of Cardiothoracic Surgery, Kuopio University Hospital, 
      Puijonlaaksontie 2, PB 100, 70210 KYS, Kuopio, Finland. juhana.toimela@kuh.fi.
FAU - Brinck, Tuomas
AU  - Brinck T
AD  - Department of Orthopaedics and Traumatology, Trauma Unit, Helsinki University 
      Hospital and University of Helsinki, Topeliuksenkatu 5, PB 266, 00029 HUS, 
      Helsinki, Finland.
FAU - Handolin, Lauri
AU  - Handolin L
AD  - Department of Orthopaedics and Traumatology, Trauma Unit, Helsinki University 
      Hospital and University of Helsinki, Topeliuksenkatu 5, PB 266, 00029 HUS, 
      Helsinki, Finland.
LA  - eng
PT  - Journal Article
DEP - 20190919
PL  - Germany
TA  - Eur J Trauma Emerg Surg
JT  - European journal of trauma and emergency surgery : official publication of the 
      European Trauma Society
JID - 101313350
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Finland/epidemiology
MH  - *Fractures, Bone/epidemiology
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - *Pelvic Bones
MH  - Trauma Centers
PMC - PMC8016785
OTO - NOTNLM
OT  - Pelvic ring fracture
OT  - Pelvic trauma
OT  - Polytrauma
OT  - Trauma registry
COIS- Juhana Toimela, Tuomas Brinck and Lauri Handolin declare that they have no 
      conflict of interest.
EDAT- 2019/09/21 06:00
MHDA- 2021/10/16 06:00
PMCR- 2019/09/19
CRDT- 2019/09/21 06:00
PHST- 2019/03/10 00:00 [received]
PHST- 2019/08/13 00:00 [accepted]
PHST- 2019/09/21 06:00 [pubmed]
PHST- 2021/10/16 06:00 [medline]
PHST- 2019/09/21 06:00 [entrez]
PHST- 2019/09/19 00:00 [pmc-release]
AID - 10.1007/s00068-019-01210-5 [pii]
AID - 1210 [pii]
AID - 10.1007/s00068-019-01210-5 [doi]
PST - ppublish
SO  - Eur J Trauma Emerg Surg. 2021 Apr;47(2):541-546. doi: 10.1007/s00068-019-01210-5. 
      Epub 2019 Sep 19.