Fenelon C, Murphy E P, O’Daly B J, Leonard M
National Centre for Pelvic & Acetabular Surgery, Tallaght University Hospital, Dublin
Ir Med J. 2019 Apr 11;112(4):915.
Aim To provide the most up to date reference of referral patterns for pelvis and acetabular (PA) fractures in Ireland and discuss where services should ideally be located. Methods A retrospective review was conducted of all referrals to the national referral centre for PA fractures in Ireland for 2016 and 2017. Results Over the two-year study period 456 referrals were made. Mean age of patients was 53 years, 62.9% were male. Management was conservative in 60.7%, operative in 38.2% while 1.1% died prior to transfer. Nearly half of fractures (47.8%) were due to falls with 38.6% due to road trauma. Referrals from the proposed central trauma network accounted for 76.1% of referrals. Median length of stay was 7 days. Average cost of operative treatment was €11,774. Conclusions PA trauma is associated with significant morbidity and costs to both patients and society. Consideration needs to be given to where best to place PA services to ensure the highest quality care in this cohort of patients
提供爱尔兰骨盆和髋臼（PA）骨折转诊模式的最新参考资料，并讨论理想的服务地点。方法：对2016年和2017年爱尔兰国家PA骨折转诊中心的所有转诊病例进行回顾性研究。结果：在为期两年的研究期间，共进行了456例转诊。患者的平均年龄为53岁，62.9%为男性。60.7%的患者采用保守治疗，38.2%采用手术治疗，1.1%在转诊前死亡。近一半（47.8%）的骨折是由跌倒所致，38.6%是由道路创伤所致。拟议的中央创伤网络的转诊病例占转诊总数的76.1%。中位住院时间为7天。手术治疗的平均费用为11,774欧元。结论：PA创伤给患者和社会带来了巨大的发病率和成本。需要考虑将PA服务安置在何处，以确保为这组患者提供最高质量的护理。
