Preprint Article Version 1 This version is not peer-reviewed

Effect of Early Pelvic Binder Use in Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study

Version 1 : Received: 4 October 2017 / Approved: 4 October 2017 / Online: 4 October 2017 (16:41:02 CEST)

A peer-reviewed article of this Preprint also exists.

Hsu, S.-D.; Chen, C.-J.; Chou, Y.-C.; Wang, S.-H.; Chan, D.-C. Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study. Int. J. Environ. Res. Public Health 2017, 14, 1217. Hsu, S.-D.; Chen, C.-J.; Chou, Y.-C.; Wang, S.-H.; Chan, D.-C. Effect of Early Pelvic Binder Use in the Emergency Management of Suspected Pelvic Trauma: A Retrospective Cohort Study. Int. J. Environ. Res. Public Health 2017, 14, 1217.

Journal reference: Int. J. Environ. Res. Public Health 2017, 14, 1217
DOI: 10.3390/ijerph14101217

Abstract

Background: We aimed to evaluate the effect of early pelvic binder use in emergency management of suspected pelvic trauma, compared with the conventional stepwise approach. Methods: We enrolled trauma patients with initial stabilization using a pelvic binder for suspecting pelvic injury. Inclusion criteria were traumatic injury requiring a trauma team and at least one of the following: loss of consciousness or Glasgow coma score (GCS) < 13; systolic blood pressure < 90 mmHg; falling from ≥6 m; injury to multiple vital organs; and suspected pelvic injury. Various parameters, including gender, age, mechanism of injury, GCS, mortality, hospital stay, initial vital sign, revised trauma score, injury severity score, and outcome, were assessed and compared with historical controls. Results: A total of 204 patients with high-energy multiple-trauma from single level I trauma center in North Taiwan were enrolled in the study from August 2013 to July 2014. The two group baseline patient characteristics were all collected and compared. The trauma patients with suspected pelvic fractures initially stabilized with a pelvic binder had shorter hospital and ICU stays. The study group achieved statistically significantly improved survival and lower mean blood transfusion volume and mortality rate although they were more severe in the trauma score. Conclusions: We recommend prompt pelvic binder use for suspected pelvic injury before definitive imaging is available, as a cervical spine collar is used to protect the cervical spine from further injury prior to definitive identification and characterization of an injury.

Subject Areas

Trauma, pelvic fracture, pelvic binder, external fixation, management

Readers' Comments and Ratings (2)

Comment 1
Received: 6 October 2017
Commenter: Yih-Jin Hu
The commenter has declared there is no conflict of interests.
Comment: Thanks for the study . This is a well writing manuscript. It's good for us to well knew how to care the pelvic fracture patients.
Thanks.
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Comment 2
Received: 7 October 2017
Commenter: Yichia hung
The commenter has declared there is no conflict of interests.
Comment: After reading the article, I am more convinced than ever that the benefits of pelvic binders.
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