PMID- 33801087
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240331
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 10
IP  - 6
DP  - 2021 Mar 21
TI  - Application of Pelvic Circumferential Compression Devices in Pelvic Ring 
      Fractures-Are Guidelines Followed in Daily Practice?
LID - 10.3390/jcm10061297 [doi]
LID - 1297
AB  - Early administration of a pelvic circumferential compression device (PCCD) is 
      recommended for suspected pelvic trauma. This study was conducted to evaluate the 
      prevalence of PCCD in patients with pelvic fractures assigned to the 
      resuscitation room (RR) of a Level I trauma center. Furthermore, correct 
      application of the PCCD as well as associated injuries with potential clinical 
      sequelae were assessed. All patients with pelvic fractures assigned to the RR of 
      a level one trauma center between 2016 and 2017 were evaluated retrospectively. 
      Presence and position of the PCCD on the initial trauma scan were assessed and 
      rated. Associated injuries with potential adverse effects on clinical outcome 
      were analysed. Seventy-seven patients were included, of which 26 (34%) had a PCCD 
      in place. Eighteen (23%) patients had an unstable fracture pattern of whom ten 
      (56%) had received a PCCD. The PCCD was correctly placed in four (15%) cases, 
      acceptable in 12 (46%) and incorrectly in ten (39%). Of all patients with pelvic 
      fractures (n = 77, 100%) treated in the RR, only one third (n = 26, 34%) had a 
      PCCD. In addition, 39% of PCCDs were positioned incorrectly. Of the patients with 
      unstable pelvic fractures (n = 18, 100%), more than half either did not receive 
      any PCCD (n = 8, 44%) or had one which was inadequately positioned (n = 2, 11 %). 
      These results underline that preclinical and clinical education programs on PCCD 
      indication and application should be critically reassessed.
FAU - Kuner, Valerie
AU  - Kuner V
AUID- ORCID: 0000-0001-6094-1230
AD  - Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, 6000 
      Luzern, Switzerland.
FAU - van Veelen, Nicole
AU  - van Veelen N
AUID- ORCID: 0000-0002-9159-5382
AD  - Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, 6000 
      Luzern, Switzerland.
FAU - Studer, Stephanie
AU  - Studer S
AD  - Medical Faculty, University of Zurich, 8091 Zurich, Switzerland.
FAU - Van de Wall, Bryan
AU  - Van de Wall B
AD  - Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, 6000 
      Luzern, Switzerland.
FAU - Fornaro, Jurgen
AU  - Fornaro J
AD  - Department of Radiology, Cantonal Hospital Lucerne, 6000 Luzern, Switzerland.
FAU - Stickel, Michael
AU  - Stickel M
AD  - Department of Emergency Care, Cantonal Hospital Lucerne, 6000 Luzern, 
      Switzerland.
FAU - Knobe, Matthias
AU  - Knobe M
AUID- ORCID: 0000-0002-9166-0965
AD  - Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, 6000 
      Luzern, Switzerland.
FAU - Babst, Reto
AU  - Babst R
AUID- ORCID: 0000-0002-7606-1358
AD  - Department of Health Science and Medicine, University of Lucerne, 6002 Luzern, 
      Switzerland.
FAU - Beeres, Frank J P
AU  - Beeres FJP
AD  - Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, 6000 
      Luzern, Switzerland.
FAU - Link, Bjorn-Christian
AU  - Link BC
AUID- ORCID: 0000-0002-3289-6935
AD  - Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Lucerne, 6000 
      Luzern, Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20210321
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC8003916
OTO - NOTNLM
OT  - PCCD
OT  - associated injuries
OT  - pelvic ring fracture
OT  - position
COIS- The authors declare no conflict of interest.
EDAT- 2021/04/04 06:00
MHDA- 2021/04/04 06:01
PMCR- 2021/03/21
CRDT- 2021/04/03 01:07
PHST- 2021/02/14 00:00 [received]
PHST- 2021/03/09 00:00 [revised]
PHST- 2021/03/18 00:00 [accepted]
PHST- 2021/04/03 01:07 [entrez]
PHST- 2021/04/04 06:00 [pubmed]
PHST- 2021/04/04 06:01 [medline]
PHST- 2021/03/21 00:00 [pmc-release]
AID - jcm10061297 [pii]
AID - jcm-10-01297 [pii]
AID - 10.3390/jcm10061297 [doi]
PST - epublish
SO  - J Clin Med. 2021 Mar 21;10(6):1297. doi: 10.3390/jcm10061297.