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10.1136/tsaco-2017-000136 http://scihub22266oqcxt.onion/10.1136/tsaco-2017-000136 C5887774!5887774 !29766121     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29766121 &cmd=llinks): Failed to open stream: HTTP request failed! 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Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality |pdf=|usr=}}{{29766121 }} gab.com Text Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality JO: Trauma Surg Acute Care Open http://www.kidney.de/pget.php?&tw=1&pmid=29766121 #FOAvip BACKGROUND: Open pelvic fracture, caused by a blunt mechanism, is an uncommon injury with a high mortality rate. In 2008, evidence-based algorithm for managing pelvic fractures in unstable patients was published by the Western Trauma Association (WTA). The use of massive transfusion protocols has become widespread as has the availability and use of pelvic angiography. The purpose of this study was to evaluate the outcome of open pelvic fractures in association with related advances in trauma care. METHODS: A retrospective review was performed, at an American College of Surgeon verified level I trauma center, of patients with blunt open pelvic fractures from January 2010 to April 2016. The WTA algorithm, including massive transfusion protocol, and pelvic angiography were uniformly used. Data collected included injury severity score, demographic data, transfusion requirements, use of pelvic angiography, length of stay, and disposition. Data were compared with a similar study from 2005. RESULTS: During the study period, 1505 patients with pelvic fractures were analyzed; 87 (6%) patients had open pelvic fractures. Of these, 25 were from blunt mechanisms and made up the study population. Patients in both studies had similar injury severity scores, ages, Glasgow Coma Scale, and gender distributions. Use of angiography was higher (44% vs. 16%; P=0.011) and mortality was lower (16% vs. 45%; P=0.014) than in the 2005 study. CONCLUSIONS: Changes in trauma care for patients with open blunt pelvic fracture include the use of an evidence-based algorithm, massive transfusion protocols and increased use of angioembolization. Mortality for open pelvic fractures has decreased with these advances. LEVEL OF EVIDENCE: Level IV. Twit Text FOAVip Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality ????Trauma Surg Acute Care Open http://www.kidney.de/pget.php?&tw=1&pmid=29766121 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29766121 #FOAvip English Wikipedia <ref>{{Cite pmid|29766121 }}</ref> Current outcomes of blunt open pelvic fractures: how modern advances in trauma care may decrease mortality #MMPMID29766121 Siada SS ; Davis JW ; Kaups KL ; Dirks RC ; Grannis KA Trauma Surg Acute Care Open 2017[]; 2 (1 ): e000136 PMID29766121 show ga BACKGROUND: Open pelvic fracture, caused by a blunt mechanism, is an uncommon injury with a high mortality rate. In 2008, evidence-based algorithm for managing pelvic fractures in unstable patients was published by the Western Trauma Association (WTA). The use of massive transfusion protocols has become widespread as has the availability and use of pelvic angiography. The purpose of this study was to evaluate the outcome of open pelvic fractures in association with related advances in trauma care. METHODS: A retrospective review was performed, at an American College of Surgeon verified level I trauma center, of patients with blunt open pelvic fractures from January 2010 to April 2016. The WTA algorithm, including massive transfusion protocol, and pelvic angiography were uniformly used. Data collected included injury severity score, demographic data, transfusion requirements, use of pelvic angiography, length of stay, and disposition. Data were compared with a similar study from 2005. RESULTS: During the study period, 1505 patients with pelvic fractures were analyzed; 87 (6%) patients had open pelvic fractures. Of these, 25 were from blunt mechanisms and made up the study population. Patients in both studies had similar injury severity scores, ages, Glasgow Coma Scale, and gender distributions. Use of angiography was higher (44% vs. 16%; P=0.011) and mortality was lower (16% vs. 45%; P=0.014) than in the 2005 study. CONCLUSIONS: Changes in trauma care for patients with open blunt pelvic fracture include the use of an evidence-based algorithm, massive transfusion protocols and increased use of angioembolization. Mortality for open pelvic fractures has decreased with these advances. LEVEL OF EVIDENCE: Level IV. äCurrent outcomes of blunt open pelvic fractures: how modern advances i(epmc).pdf DeepDyve Pubget Overpricing