The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients
Objective: The objective of this study was to investigate the association between BMI, days spent in hospital, blood loss, and surgery time in patients who suffered from isolated pelvic fractures and pelvic fractures with concomitant injuries (polytrauma patients). Methods: This study included 76 co...
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MDPI AG
2023-09-01
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| Online Access: | https://www.mdpi.com/2076-3417/13/18/10546 |
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| author | Tomasz Pielak Rafał Wójcicki Piotr Walus Adam Jabłoński Michał Wiciński Przemysław Jasiewicz Bartłomiej Małkowski Szymon Nowak Jan Zabrzyński |
| author_facet | Tomasz Pielak Rafał Wójcicki Piotr Walus Adam Jabłoński Michał Wiciński Przemysław Jasiewicz Bartłomiej Małkowski Szymon Nowak Jan Zabrzyński |
| author_sort | Tomasz Pielak |
| collection | DOAJ |
| description | Objective: The objective of this study was to investigate the association between BMI, days spent in hospital, blood loss, and surgery time in patients who suffered from isolated pelvic fractures and pelvic fractures with concomitant injuries (polytrauma patients). Methods: This study included 76 consecutive patients who were admitted for pelvic ring fracture surgery between 2017 and 2022. The inclusion criteria were pelvic fractures and indications for operative treatment (LC II and III, APC II and III, and VS). The exclusion criteria were non-operative treatment for pelvic ring fractures, acetabular fractures and fractures requiring primary total hip arthroplasty (THA), and periprosthetic acetabular fractures. Demographic data were collected, including age (in years), sex, type of fracture according to Young–Burgess, date of injury and surgery, surgical approach and stabilization methods, mechanism of trauma, concomitant trauma in other regions, body mass index (BMI), blood transfusions, number of days spent in the hospital, and surgery duration. Results: Patients who suffered from a pelvic ring injury with concomitant injuries had a significantly greater amount of blood units transferred (1.02 units vs. 0.55 units), and the length of hospital stay was also longer compared to the mean results (5.84 days vs. 3.58 days), <i>p</i> = 0.01 and <i>p</i> = 0.001, respectively. Moreover, patients with a higher BMI had more frequent APC II and APC III fractures (<i>p</i> = 0.012). Conclusions: This study demonstrates that polytrauma patients who suffered from pelvic ring injury are, indeed, at risk of blood transfusion in terms of greater units of blood and a longer duration of hospital stay. Moreover, BMI has an impact on pelvic ring fracture morphology. However, there is no doubt that there is an absolute need for further studies and investigations to provide better overall management of polytrauma patients with pelvic fractures. |
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| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T23:03:26Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
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| series | Applied Sciences |
| spelling | doaj.art-4e012f1facd842f38247c7db051457442023-11-19T09:29:15ZengMDPI AGApplied Sciences2076-34172023-09-0113181054610.3390/app131810546The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 PatientsTomasz Pielak0Rafał Wójcicki1Piotr Walus2Adam Jabłoński3Michał Wiciński4Przemysław Jasiewicz5Bartłomiej Małkowski6Szymon Nowak7Jan Zabrzyński8Department of Orthopaedics and Traumatology, Faculty of Medicine, J. Kochanowski University in Kielce, 25-001 Kielce, PolandDepartment of Orthopaedics and Traumatology, Faculty of Medicine, J. Kochanowski University in Kielce, 25-001 Kielce, PolandDepartment of Orthopaedics and Traumatology, Faculty of Medicine, J. Kochanowski University in Kielce, 25-001 Kielce, PolandDepartment of Orthopaedics and Traumatology, Faculty of Medicine, J. Kochanowski University in Kielce, 25-001 Kielce, PolandDepartment of Pharmacology and Therapeutics, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-092 Bydgoszcz, PolandDepartment of Anesthesiology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-092 Bydgoszcz, PolandDepartment of Urology, Oncology Centre Prof. Franciszek Łukaszczyk Memorial Hospital, 85-796 Bydgoszcz, PolandDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-092 Bydgoszcz, PolandDepartment of Orthopaedics and Traumatology, Faculty of Medicine, J. Kochanowski University in Kielce, 25-001 Kielce, PolandObjective: The objective of this study was to investigate the association between BMI, days spent in hospital, blood loss, and surgery time in patients who suffered from isolated pelvic fractures and pelvic fractures with concomitant injuries (polytrauma patients). Methods: This study included 76 consecutive patients who were admitted for pelvic ring fracture surgery between 2017 and 2022. The inclusion criteria were pelvic fractures and indications for operative treatment (LC II and III, APC II and III, and VS). The exclusion criteria were non-operative treatment for pelvic ring fractures, acetabular fractures and fractures requiring primary total hip arthroplasty (THA), and periprosthetic acetabular fractures. Demographic data were collected, including age (in years), sex, type of fracture according to Young–Burgess, date of injury and surgery, surgical approach and stabilization methods, mechanism of trauma, concomitant trauma in other regions, body mass index (BMI), blood transfusions, number of days spent in the hospital, and surgery duration. Results: Patients who suffered from a pelvic ring injury with concomitant injuries had a significantly greater amount of blood units transferred (1.02 units vs. 0.55 units), and the length of hospital stay was also longer compared to the mean results (5.84 days vs. 3.58 days), <i>p</i> = 0.01 and <i>p</i> = 0.001, respectively. Moreover, patients with a higher BMI had more frequent APC II and APC III fractures (<i>p</i> = 0.012). Conclusions: This study demonstrates that polytrauma patients who suffered from pelvic ring injury are, indeed, at risk of blood transfusion in terms of greater units of blood and a longer duration of hospital stay. Moreover, BMI has an impact on pelvic ring fracture morphology. However, there is no doubt that there is an absolute need for further studies and investigations to provide better overall management of polytrauma patients with pelvic fractures.https://www.mdpi.com/2076-3417/13/18/10546pelvic fracturepelvisBMItransfusionYoung–Burgesstrauma |
| spellingShingle | Tomasz Pielak Rafał Wójcicki Piotr Walus Adam Jabłoński Michał Wiciński Przemysław Jasiewicz Bartłomiej Małkowski Szymon Nowak Jan Zabrzyński The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients Applied Sciences pelvic fracture pelvis BMI transfusion Young–Burgess trauma |
| title | The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients |
| title_full | The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients |
| title_fullStr | The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients |
| title_full_unstemmed | The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients |
| title_short | The Association between BMI, Days Spent in Hospital, Blood Loss, Surgery Time and Polytrauma Pelvic Fracture—A Retrospective Analysis of 76 Patients |
| title_sort | association between bmi days spent in hospital blood loss surgery time and polytrauma pelvic fracture a retrospective analysis of 76 patients |
| topic | pelvic fracture pelvis BMI transfusion Young–Burgess trauma |
| url | https://www.mdpi.com/2076-3417/13/18/10546 |
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