{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:49:18Z","timestamp":1791834558306,"version":"4.3.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pelvic binders are used in prehospital settings for early stabilization when pelvic fractures are suspected. Although a rapid and cost-effective tool, uncertainties persist regarding their use prior to radiological confirmation of pelvic fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A review of adult patients with a pelvic fracture requiring trauma team activation who were admitted to a tertiary trauma center between 2020 and 2023 was conducted. The radiological studies were reviewed by four consultant orthopedic surgeons and were classified according to whether the application of a pelvic binder would be mechanically favorable, neutral, or potentially unfavorable. The area under the curve (AUC) was calculated to evaluate the ability of specific physiologic and injury-related variables (hypotension, tachycardia, shock index, Injury Severity Score (ISS), Glasgow Coma Scale, and mechanism of injury) to discriminate pelvic fracture morphologies for which pelvic binder application would be favorable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 298 patients were included in the current investigation. Of these patients, applying a pelvic binder was favorable in 17% of cases (95% CI: 13%-22%, N = 50), would be mechanically neutral in 28% of cases (95% CI: 23%-33%, N = 82), and was potentially unfavorable in 56% of cases (95% CI: 50%-61%, N = 166) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). All investigated variables demonstrated limited discriminatory ability for identifying patients for whom pelvic binder application was favorable, with most AUCs &lt;0.60. The highest predictive performance was observed for the ISS [AUC (95% CI): 0.65 (0.58-0.73)].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In trauma patients with CT-confirmed pelvic ring injuries, readily available prehospital variables such as hemodynamic instability, associated injury patterns, and mechanism of injury appear to be insufficient for reliably identifying patients with a fracture morphology that could be amenable to pelvic binder application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261494137","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:55:41Z","timestamp":1791618941000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prehospital Variables Do Not Reliably Identify Pelvic Fracture Morphologies Amenable to Pelvic Binder Application: A Retrospective Imaging Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3583-3443","authenticated-orcid":false,"given":"Maximilian P.","family":"Forssten","sequence":"first","affiliation":[{"name":"Orebro University"},{"name":"Vasteras Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayder Saleh","family":"Al Saadi","sequence":"additional","affiliation":[{"name":"Sheikh Shakhbout Medical City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amin","family":"El Helw","sequence":"additional","affiliation":[{"name":"Sheikh Shakhbout Medical City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vettikkattil Joseph","family":"Simon","sequence":"additional","affiliation":[{"name":"Sheikh Shakhbout Medical City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Marcelo AF","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Sheikh Shakhbout Medical City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neev","family":"Trehan","sequence":"additional","affiliation":[{"name":"Sheikh Shakhbout Medical City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian P.","family":"Forssten","sequence":"additional","affiliation":[{"name":"Orebro University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Trehan","sequence":"additional","affiliation":[{"name":"Sheikh Shakhbout Medical City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7097-487X","authenticated-orcid":false,"given":"Shahin","family":"Mohseni","sequence":"additional","affiliation":[{"name":"Orebro University"},{"name":"New Jahra Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.01.059"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.05.029"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-020-00328-x"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.04.003"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2021.2015024"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2017.0159"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sopen.2022.01.001"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc5157"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.09.035"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2250-0685.374"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200301000-00012"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcr.2020.100292"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14101217"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amj.2017.05.006"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348261480824"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-62027-6"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199605000-00004"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781118548387"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05166-3"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348261493537"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-016-0259-7"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2022.08.033"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.157.5.1927786"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.01.101"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.02.099"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000043724"}],"container-title":["The 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