Department of Trauma and Orthopaedic Surgery, AMNCH, Tallaght, Dublin 24, Ireland.
Ir J Med Sci. 2012 Jun;181(2):243-6. doi: 10.1007/s11845-011-0791-4. Epub 2011 Dec 30.
Pelvic fractures are usually the result of high-energy trauma and may have associated soft tissue and organ damage resulting in significant morbidity and mortality in these patients. Currently, there is little data from Ireland regarding these injuries.
To study the epidemiology of pelvic fractures presenting to a tertiary referral centre in Dublin.
Patients referred with a pelvic fracture were identified using the Hospital Inpatient Enquiry System (HIPE) from 1998 to 2008. The patient's medical notes were reviewed for demographic data, type and mechanism of fracture and associated injuries.
A total of 509 patients were identified over the 10-year period. 466 patients were included in the study. There was a significant male preponderance 76% (n = 354) as compared to females 24% (n = 112). Mean age was 36.5 years (range 16-83). Road traffic accidents (RTA) were the cause in 74% (n = 346) of the cases.
From our study, the typical patient profile is one of a male in his 30's involved in an RTA requiring acetabular surgery. This is in accordance with previously published international data and highlights the need for specialised units, training in this subspecialty and allocation of resources.
骨盆骨折通常是高能创伤的结果,可能伴有软组织和器官损伤,导致这些患者的发病率和死亡率显著增加。目前,爱尔兰关于这些损伤的数据很少。
研究都柏林一家三级转诊中心收治的骨盆骨折患者的流行病学情况。
使用医院住院查询系统(HIPE)从 1998 年到 2008 年期间确定因骨盆骨折而就诊的患者。回顾患者的病历以获取人口统计学数据、骨折类型和机制以及相关损伤。
在 10 年期间共确定了 509 名患者。其中 466 名患者纳入本研究。与女性(n = 112)相比,男性明显占优势,占 76%(n = 354)。平均年龄为 36.5 岁(范围 16-83 岁)。道路交通碰撞(RTA)是 74%(n = 346)病例的原因。
根据我们的研究,典型的患者特征是一名 30 多岁的男性,因 RTA 需要进行髋臼手术。这与先前发表的国际数据一致,突出了需要专门的单位、该亚专业的培训以及资源分配。