Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064190%3A_____%2F21%3AN0000047" target="_blank" >RIV/00064190:_____/21:N0000047 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00669806:_____/21:10428989 RIV/00216208:11120/21:43921762 RIV/00216208:11140/21:10428989 RIV/00064203:_____/21:10428989 a 3 dalších

Výsledek na webu

<a href="http://dx.doi.org/10.1007/s00264-021-05105-2" target="_blank" >http://dx.doi.org/10.1007/s00264-021-05105-2</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00264-021-05105-2" target="_blank" >10.1007/s00264-021-05105-2</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers

Popis výsledku v původním jazyce

Aim of the study Epidemiologic evaluation of pelvic ring injuries in children. Methods Retrospective analysis over a period of 13 years, excluding pathological fractures. AO/OTA type, epidemiological data, type of treatment, and complications were recorded. Data were assessed using Fisher's exact test and Wilcoxon test. Results 243 boys, 115 girls, mean age (SD) 14.1 +/- 3.0 years, AO/OTA types: 281 A, 52 B, 25 C. Multiple trauma: 62, combined trauma: 59, mono-trauma: 237. 281 patients were treated non-operatively, 97 surgically. Etiology: traffic accidents 88, falls from a great height 37, crushing injuries four, and sports injuries 192, simple falls 30, others seven. High-energy mechanisms prevailed in types B and C. Low-energy mechanism in type A (p < 0.0001). Similar differences were found between type A (p = 0.0009) and in case type C requiring surgery and cases treated non-operatively (p < 0.0001). Twenty-six patients (7.3%) had complications (pelvic asymmetry 5, neurological deficits 5, non-union 1, ectopic calcification 4, others 7). Higher complication rates were associated with types B and C (p = 0.0015), with surgically treated cases (p < 0.0001) and multiple trauma (p = 0.0305). Discussion Results of this trial were comparable with other studies. Conclusion Sports injuries accounted for most type A injuries, while types B and C tended to be associated with high-energy trauma. Complications were associated with the severity of pelvic trauma, more common in surgically treated group of patients; this is primarily linked to the surgical cases being more serious as well as the associated injuries.

Název v anglickém jazyce

Paediatric pelvic injuries: a retrospective epidemiological study from four level 1 trauma centers

Popis výsledku anglicky

Aim of the study Epidemiologic evaluation of pelvic ring injuries in children. Methods Retrospective analysis over a period of 13 years, excluding pathological fractures. AO/OTA type, epidemiological data, type of treatment, and complications were recorded. Data were assessed using Fisher's exact test and Wilcoxon test. Results 243 boys, 115 girls, mean age (SD) 14.1 +/- 3.0 years, AO/OTA types: 281 A, 52 B, 25 C. Multiple trauma: 62, combined trauma: 59, mono-trauma: 237. 281 patients were treated non-operatively, 97 surgically. Etiology: traffic accidents 88, falls from a great height 37, crushing injuries four, and sports injuries 192, simple falls 30, others seven. High-energy mechanisms prevailed in types B and C. Low-energy mechanism in type A (p < 0.0001). Similar differences were found between type A (p = 0.0009) and in case type C requiring surgery and cases treated non-operatively (p < 0.0001). Twenty-six patients (7.3%) had complications (pelvic asymmetry 5, neurological deficits 5, non-union 1, ectopic calcification 4, others 7). Higher complication rates were associated with types B and C (p = 0.0015), with surgically treated cases (p < 0.0001) and multiple trauma (p = 0.0305). Discussion Results of this trial were comparable with other studies. Conclusion Sports injuries accounted for most type A injuries, while types B and C tended to be associated with high-energy trauma. Complications were associated with the severity of pelvic trauma, more common in surgically treated group of patients; this is primarily linked to the surgical cases being more serious as well as the associated injuries.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30211 - Orthopaedics

Projekt

<a href="/cs/project/EF17_048%2F0007280" target="_blank" >EF17_048/0007280: Aplikace moderních technologií v medicíně a průmyslu</a><br>

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

INTERNATIONAL ORTHOPAEDICS

ISSN

0341-2695

e-ISSN

1432-5195

Svazek periodika

45

Číslo periodika v rámci svazku

8

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

16

Strana od-do

2033-2048

Kód UT WoS článku

000669394200002

EID výsledku v databázi Scopus

2-s2.0-85109347016