2007, Number 4
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Acta Ortop Mex 2007; 21 (4)
Timeliness of care in patients with type-B pelvic ring injuries at a referral Hospital in Mexico City
Laguna SE, Benítez GRA, Salcedo OJE
Language: Spanish
References: 26
Page: 194-198
PDF size: 190.74 Kb.
ABSTRACT
Objective: To determine the timeliness of the care provided to patients with type-B pelvic ring injuries at the emergency service.
Material and methods: This is a cross-sectional, observational, descriptive, analytical, interval, retrolective study. A quota, non-probabilistic sampling was used. Twenty patients with type-B pelvic ring injuries who presented at the emergency room from December 1
st, 2002 to November 30, 2005 were studied. The data collected included age, gender, timeliness of care, time to starting of care, time to the initial diagnosis, time to the beginning of management, time on external fixation, total initial multidisciplinary management time, morbidity, concomitant injuries, hospital complications, length of hospital stay and health outcomes. Patients of both genders, over age 16 years, not treated elsewhere were included, and managed with external fixation. Timeliness of care was assessed in patients in whom multidisciplinary management that resulted in survival was completed. The analysis included the central trend and summary variables.
Results: Timely care was provided to all 20 patients.
Conclusions: Timely care was provided to 100% of patients. The timeliness of care in this type of injuries results from a successful multidisciplinary management.
REFERENCES
Rommens PM, Tile M, Laude F, Martimbeau C: A short history of pelvis trauma surgery. 2003; 58-31 www.aofoundation.org/.../Extranet/Active/-att/wor/act/Dialogue/2003_2/History_pelvic_trauma.pdf - Resultado Suplementario.
Penal GF, Tile M, Waddell JP, Garside H: Pelvis Disruption: Assessment and classification. Clin Orthop 1980; 151: 12-21.
Tile M: Pelvic ring fractures. Should they Be Fixed? J Bone Joint Surg (Br) 1988; 70(B): 1-12.
O’Sullivan REM, White TO, Keating JF: Major pelvic fractures. Identification of patients at high risk. J Bone Joint Surg (Br) 2005; 87(B): 530-4.
Solan MC, Molloy S, Packham I, Ward DA, Bircher MD: Pelvic and acetabular fractures in the United Kingdom. A continued public health emergency. Injury Int J Care Injured 2004; 35: 16-22.
Rubel IF, Kloen P, Borens O, Helfet DL: External fixation for pelvic ring injuries. Techniques in orthopaedics. 2002; 17(2): 221-7.
Benitez GRA, Luquin MJM: Tratamiento quirúrgico de las fracturas inestables de la pelvis. Tesis de postgrado, México, UNAM HTOLV IMSS 1994: 69-71.
Mohanty K, Musso D, Powell JN, Kortbeek JB, Kirkpatrick AW: Emergent management of pelvis ring injuries: an update. Can J Surg 2005; 48(1): 49-56.
Incagnoli P, Viggiano M, Carli P: Priorities in the management of severe pelvic trauma. Curr Opin Crit Care 2000; 6: 401-7.
Bello GA, Caloca PM, Muciño MM, Vives AH: Fijación externa inmediata en fracturas del anillo pélvico. Acta Ortopédica Mexicana 2004; 18(4): 140-4.
Tucker MC, Nork SE, Simonian PT, Routt MLC: Simple anterior pelvis external fixation. J Trauma 2000; 49: 989-94.
García EF, Beltrán OR: Tratamiento quirúrgico de las lesiones inestables de la pelvis en el paciente polifracturado. Rev Mex Orthop Traum 1992; 6(4): 126-30.
Giannoudis PV, Pape HC: Damage control orthopaedics in unstable pelvic ring injuries. Injury Int J Care Injured 2004; 35: 671-7.
Valencia RE, Bermeo FJ, Morales RI: Fracturas de pelvis en pacientes termodinámicamente estables e inestables tratados con el fijador externo EVR. Rev Cubana Ortop y Traumatol 2003; 17(1-2): 62-8.
Arazi M, Kutlu A, Mutlu M, Yel M, Kapiciglu MIS: The pelvis external fixation. The Mid-term results of 41 patients treated with a newly designed fixator. Arch Orthop Trauma Surg 2000; 120: 584-6.
Nájera CMA, Flores VVM, Bárcena JLR: Criterios de tratamiento conservador vs quirúrgico en las lesiones del anillo pélvico. Rev Mex Ortop Traum 1995; 9(6): 329-36.
Tile M, Penal GF: Pelvis disruption. Principles of Management. Clin Orthop 1980; 151: 56-64.
Bellabarba C, Ricci WM, Bolhofner BR: Distraction external fixation in lateral compression pelvis fractures. J Orthop Trauma 2000;14(7):475-82.
Mason WTM, Khan SN, James CL, Chesser TJS, Ward AJ: Complications of temporary and definitive external fixation of pelvic ring injuries. Injury Int J Care Injuries 2005; 36: 599-604.
Kim WY, Hearn TC, Seleem O, Mahalingam E, Sthepen D, Tile M: Effect of pin location on stability of pelvic external fixation. Clin Orthop 1980; 151: 22-9.
McMurtry R, Walton D, Dickinson D, Kellam J, Tile M: Pelvic disruption in the polytraumatized patient: A management protocol. Clin Orthop 1980; 151: 22-9.
Comité de Trauma del Colegio Americano de Cirujanos. Programa avanzado de apoyo vital en trauma para médicos ATLS, 6ª edición, Chicago, Colegio Americano de Cirujanos, 1997: 369-92.
Tile M, Helfet D, Kellam J: Fractures of the pelvis and acetabulum, 3rd edition, Philadelphia, Williams & Wilkins, 2003: 61.
González GO, Fernández PLJ, Sánchez BM: Mortalidad por fracturas de pelvis y acetábulo en el Centro Médico ABC. Anales Médicos Hospital ABC 2002; 47(2): 62-6.
Diccionario de la Lengua Española, 1ra edición, México, Larousse Editorial S. A, 2000:472.
Pohlemann T, Gänsslen A, Hüfner T, Tsherne H: Pelvis fracture algorithms. Hemodynamic instability associated with pelvic fracture. 2000: www.hwbf.org/ota/s2k/algo/miemsal.htm - 6k.