The Analysis of Pelvic Fractures in Emergency Department Between 2011-2021

Year 2023, Volume: 49 Issue: 1, 31 - 35, 09.06.2023

Burçin Aydın , Şahin Aslan , Vahide Aslıhan Durak , Hakan Çelebi

https://doi.org/10.32708/uutfd.1156379

Abstract

Pelvic fractures are traumas with high mortality and morbidity rates due to the trauma mechanism and energy. Concomitant organ injuries, severity of trauma, head trauma, coagulopathy, advanced age and presence of bleeding are factors that increase mortality. The aim of our study is to determine the demographic characteristics of pelvic fractures and the factors affecting mortality and morbidity. In our study, the patients who applied to the emergency department between 01.01.2011-01.01.2021 and aged 18 years and above with trauma-related pelvis fractures were included in the study. The patients' name-surname, admission number, age, gender, additional diseases, pelvis fracture and type, accompanying pathologies, procedures performed in the emergency department, outcome, length of hospital stay, mortality, type of treatment applied during hospitalization were recorded. Due to the distribution of Tile classification according to age groups, Type 3 fractures are most common in the 18-30 age group, while Type 2 fractures are seen in the age group of 70 and above. When the distribution of Tile classification according to the trauma mechanism is examined, it is seen that Type 2 fractures are the most common in all groups and this rate is highest in patients presenting with a fall. In conclusion, the determination of the relationship between pelvic fractures with age, comorbid disease, energy level of the trauma will contribute in understanding the additional injuries that may develop in patients and the complications that may develop due to these injuries.

Keywords

pelvic fractures, Tile classification, trauma

2011-2021 Yılları Arasında Acil Servise Başvuran Pelvik Fraktür Tanısı Alan Hastaların Analizi

Abstract

Pelvis travmaları travmayı oluşturan mekanizma ve enerjiye bağlı olarak mortalitesi ve morbiditesi yüksek olan travmalardır. Eşlik eden organ yaralanmaları, travmanın şiddeti, kafa travması, koagülopati, ileri yaş, kanama varlığı mortaliteyi arttıran nedenlerdir. Çalışmamızın amacı acil servislerde sık görülen ve çok ciddi sonuçlara yol açan pelvis fraktürlerinin demografik özelliklerini, morbidite ve mortaliteye etki eden faktörleri saptamaktır. Çalışmamızda 01.01.2011-01.01.2021 tarihleri arasında Acil Servise başvuran hastalardan travmaya bağlı pelvis kırığı olan 18 yaş üstü olanlar çalışmaya dahil edilmiştir. Hastaların demografik verileri, ek hastalıkları, pelvis kırığı ve Tile sınıflamasına göre tipi, eşlik eden patolojiler, acil serviste yapılan işlemler, sonlanım şekli, hastanede yatış süresi, mortalite, yatışında uygulanan tedavi şekli kayıt altına alınmıştır. Yaş gruplarına göre Tile sınıflamasının dağılımına bakıldığında ise 18-30 yaş grubunda en sık Tip 3 kırıklar görülürken, 70 yaş ve üzerinde ise Tip 2 kırıklar görülmektedir. Travma mekanizmasına göre Tile sınıflamasının dağılımı incelendiğinde, tüm gruplarda en sık Tip 2 kırıkların olduğu ve düşme ile başvuran hastalarda bu oranın en yüksek olduğu görülmektedir. Sonuç olarak pelvis kırıkları ile yaş, ek hastalık, travmanın enerji düzeyi ile ilişkisinin tespiti, hastalarda gelişebilen ek yaralanmaların ve bu yaralanmalara bağlı gelişebilecek komplikasyonların anlaşılmasında fayda sağlayacaktır.

Keywords

pelvis fraktürü, Tile sınıflaması, travma.

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