Genitourinary Injuries in Pelvic Fracture Morbidity and Mortality Using the National Trauma Data Bank

• DOI: 10.1097/ta.0b013e3181bb8d6c
• Publication Date: 2009-11-07T08:18:52Z
• Authors: Marc A. Bjurlin; Richard J. Fantus; Michele M. Mellett; Sandra M. Goble
• Keywords: Pelvic fracture

Background: Pelvic fractures from blunt force trauma place the bladder and urethra at risk for injury, often resulting in significant complications. We sought to compare morbidity, mortality, health care resource utilization patients with without genitourinary injuries (GUI) associated pelvic fractures. Methods: In this retrospective study of fractures, incidence GUI, initial emergency department data, mechanism utilization, injuries, discharge disposition, mortality were investigated using χ2 tests categorical variables Student's t test continuous comparing GUI. Multiple logistic regression analysis was used detect predictors mortality. Results: Of 31,380 1,444 had Men more commonly sustained GUI than women (66.14% vs. 33.86%). The urogenital, bladder, urethral men 5.34%, 3.41%, 1.54%, 3.62%, 3.37%, 0.15%, respectively. Patients remained hospitalized longer (median 10 6 d, p < 0.001), intensive unit stay days 3 1 less discharged home (31.02% 42.82%), an increased rate (13.99% 8.08%, 0.001) when compared Motor vehicle collisions most common injury all Spleen liver injured abdominal organs as a whole. likely result bowel, reproductive organs. Although not found be independent predictor age ≥65 years, systolic blood pressure 0 mm Hg 90 Hg, Injury Severity Score ≥25, Glasgow coma score ≤8, female gender Conclusion: sustaining fracture have increase morbidity. who greater number concomitant overall those