Acta Chir Orthop Traumatol Cech. 2021; 88(6):418-422 | DOI: 10.55095/achot2021/062

Early Outcomes of Pelvic Trauma Patients - Complications, ICU Stay and Treatment Concepts in Two ATLS Compliant Trauma Centers: Germany and QatarOriginal papers

H. KEIL1,2, A. EL-MENYAR3,4, J. DAERR2, F. WEIL2, H. ABDELRAHMAN5, A. ALHAMMOUD6, S. I. GHOURI6, E. BABIKIR6, B. M. WAHLEN5, H. AL-THANI5, P. A. GRUETZNER2, M. MUENZBERG2,*
1 Friedrich-Alexander-Universität Erlangen-Nürnberg, Trauma and Orthopaedic Surgery, Universitätsklinikum Erlangen, Germany
2 BG Trauma Center at Ruprecht-Karls-Universität Heidelberg, Ludwigshafen, Germany
3 Trauma Surgery, Clinical Research, Hamad General Hospital. Doha, Qatar
4 Clinical Medicine, Weill Cornell Medical School, Doha, Qatar
5 Trauma Surgery, Hamad General Hospital, Doha, Qatar
6 Orthopaedic Surgery, Hamad General Hospital, Doha, Qatar

PURPOSE OF THE STUDY:
Pelvic trauma causes severe threats especially to polytraumatized patients. Not only it is in itself a possible cause for significant bleeding, but it also indicates a high risk for intra-abdominal injuries. The initial treatment of patients with pelvic trauma follows the ATLS principles of priority-oriented treatment. To examine the value of this highly standardized concept and to evaluate the effect of different patient collectives on early outcome parameters, two large collectives from Germany and Qatar were analyzed regarding injury parameters and early outcomes.

MATERIAL AND METHODS:
Patients were recruited in Hamad General Hospital, Doha, Qatar (HGH) and BG Trauma Center Ludwigshafen, Germany (BG). All patients that were treated with a pelvic fracture between 2013 and 2016 were included in this retrospective analysis. Demographic parameters were collected as well as type of injury and the frequency of complication parameters as pneumonia, acute kidney failure, ARDS, sepsis and amount of blood transfusion. 1436 patients with pelvic fracture (645 from BG and 791 from HGH) were recruited. The mean age was 57.4 years in the BG and 33.6 years in the HGH group (p

Keywords: ATLS®, pelvic injury, complications, polytrauma

Published: December 15, 2021  Show citation

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KEIL H, EL-MENYAR A, DAERR J, WEIL F, ABDELRAHMAN H, ALHAMMOUD A, et al.. Early Outcomes of Pelvic Trauma Patients - Complications, ICU Stay and Treatment Concepts in Two ATLS Compliant Trauma Centers: Germany and Qatar. Acta Chir Orthop Traumatol Cech. 2021;88(6):418-422. doi: 10.55095/achot2021/062. PubMed PMID: 34998444.
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