Abstract
Objectives: This study aimed to evaluate patients with pelvic trauma involving damage to other organs who were admitted to non-orthopedics wards. It also sought to explore the diagnostic and therapeutic interventions and compare outcomes between elderly and younger populations.
Design: This research was conducted as a descriptive cross-sectional study.
Setting(s): The study was carried out at Imam Reza Hospital, a trauma center in Tabriz, Iran.
Participants: Multiple trauma patients with pelvic fractures were included in this study.
Outcome Measures: The primary outcomes measured included the types of injuries, admitting departments, need for orthopedic intervention, and final patient outcomes such as mortality, recovery status, and patient transfers.
Results: The average age of patients was 47.56 years (95% CI, 43.36-51.76). The minimum age was 12 years, and the maximum age was 87 years. Out of the total patients, 49 patients (72.1%) were male, while 19 (27.9%) were female. Elderly patients demonstrated a significantly higher prevalence of thoracic injury compared to younger patients (47.1% vs. 15.7%, P<0.01) despite similar mortality rates. The most commonly observed injuries include pelvic ring fractures and isolated ramus fractures. Abdominal injuries were the most common findings, leading to admission to the surgical department. A total of 63 patients were discharged from the hospital with either partial or complete recovery, 4 patients died, and 1 patient was transferred to another province upon the request of her companions.
Conclusions: The majority of patients with pelvic fractures were young males. The most common types of fractures were pelvic ring and ramus fractures. Associated injuries in these patients mostly included abdominal and head trauma. Most patients experienced favorable outcomes with a low mortality rate. No significant relationship was observed between the type of injury and patient outcomes during hospitalization.