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KMID : 0361620120470030191
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Journal of the Korean Orthopaedic Association
2012 Volume.47 No. 3 p.191 ~ p.197
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Comparison of the Mortality Rate according to the Presence of Trauma Team in Hemodynamically Unstable Patients with Pelvic Ring Injury
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Kim Ji-Wan
Hong Soo-Jung
Kyoung Kyu-Hyouck
Choi Ji-Ho
Kim Jung-Jae
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Abstract
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Purpose: To compare the clinical results of hemodynamically unstable patients diagnosed with pelvic ring injury according to the presence of a trauma team.
Materials and Methods: Patients with hemodynamically unstable pelvic fracture were enrolled in the study and were divided into two groups: Group I, patients who were managed before March 2009, when there was no trauma team; and Group II, patients who were managed after March 2009, when emergent trauma team began to work. Data were collected regarding the time the trauma team began patient management, the treatment modality used to control bleeding, transfusion requirement, and patient mortality.
Results: The time when the trauma team began patient management was five hours and 48 minutes in Group I and 57 minutes in Group II. The time to definitive treatment in order to control bleeding in Group I and Group II was 14.4 hours and 4.2 hours, respectively. The amount of the transfusion was 41.1 unit in Group I and 13.2 unit in Group II patients. In Group I, four patients (57.1%) died, although only one of the seven patients in Group II (14.3%) died.
Conclusion: Using a multidisciplinary approach, the trauma team has only a short amount of time to determine their treatment strategy and to achieve prompt management of bleeding, with the final objective to decrease the mortality rate in patients with hemodynamically unstable pelvic fractures.
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KEYWORD
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trauma, pelvic fracture injury, mortality, trauma team
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