{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:17:08Z","timestamp":1755224228007,"version":"3.43.0"},"reference-count":23,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background<\/jats:title>\n<jats:p>Pelvic fractures are often a result of injuries caused by a major force and lead to considerable morbidity and mortality. Despite advances in acute management protocols involving angioembolization as a prime intervention, mortality in complex pelvic fractures remains high. We analysed our experience with the outcomes of a pelvic trauma management protocol using surgical haemostatic techniques over 5 years.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We did a retrospective analysis of all patients admitted with pelvic factures from January 2014 to December 2018. Demographic profile, clinical details, imaging findings, operative details and outcomes were analyzed. Logistic regression analysis was used to determine factors predicting poor outcomes in patients with pelvic fractures.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 501 patients with pelvic fractures were included, predominantly male (376; 75%), with a mean (SD) age of 34 (13.1) years. Road traffic accidents were the most common cause of injury (362; 72.3%). On presentation, 76 (15.2%) patients were haemodynamically unstable. The most common pattern of pelvic fractures was lateral compression in 320 (63.9%). Seventy-nine patients (15.7%) died. Haemorrhagic shock (251; 50%) and sepsis (86; 34.2%) were the predominant causes of death. Multivariate analysis predicted a higher class of haemorrhagic shock and a high injury severity score was associated with poor outcomes of pelvic fractures.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Management of pelvic trauma is complex due to haemodynamic instability and multiple organ involvement. Our goal-directed, resource-directed approach provided an overall favourable outcome in patients with pelvic fractures.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/nmji_464_2022","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T12:02:03Z","timestamp":1755000123000},"page":"133-137","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A protocolised approach provides a favourable outcome in patients with severe pelvic trauma"],"prefix":"10.25259","volume":"38","author":[{"given":"MAJID","family":"ANWER","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DINESH","family":"BAGARIA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NARENDRA","family":"CHOUDHARY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ABHINAV","family":"KUMAR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PRATYUSHA","family":"PRIYADARSHINI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SUSHMA","family":"SAGAR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"AMIT","family":"GUPTA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BIPLAB","family":"MISHRA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SUBODH","family":"KUMAR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,8,12]]},"reference":[{"key":"10.25259\/NMJI_464_2022\/ref-1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/S1072-7515(02)01197-3","article-title":"Pelvic fractures: Epidemiology and predictors of associated abdominal injuries and outcomes","volume":"195","author":"Demetriades","year":"2002","journal-title":"J Am Coll Surg"},{"key":"10.25259\/NMJI_464_2022\/ref-2","doi-asserted-by":"publisher","first-page":"2697","DOI":"10.1016\/j.injury.2020.01.042","article-title":"Novel resuscitation strategies in patients with a pelvic fracture","volume":"52","author":"Copp","year":"2021","journal-title":"Injury"},{"key":"10.25259\/NMJI_464_2022\/ref-3","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1016\/j.injury.2004.03.003","article-title":"Damage control orthopaedics in unstable pelvic ring injuries","volume":"35","author":"Giannoudis","year":"2004","journal-title":"Injury"},{"key":"10.25259\/NMJI_464_2022\/ref-4","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1097\/00005131-200202000-00004","article-title":"Staged reconstruction of pelvic ring disruption: Differences in morbidity, mortality, radiologic results, and functional outcomes between B1, B2\/B3, and C-type lesions","volume":"16","author":"Rommens","year":"2002","journal-title":"J Orthop Trauma"},{"key":"10.25259\/NMJI_464_2022\/ref-5","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1097\/TA.0b013e3182ab0cde","article-title":"Demographic epidemiology of unstable pelvic fracture in the United States from 2000 to 2009: Trends and in-hospital mortality","volume":"76","author":"Yoshihara","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"10.25259\/NMJI_464_2022\/ref-6","doi-asserted-by":"publisher","first-page":"1834","DOI":"10.1016\/j.injury.2020.06.003","article-title":"Preperitoneal pelvic packing for early hemorrhage control reduces mortality compared to resuscitative endovascular balloon occlusion of the aorta in severe blunt pelvic trauma patients: A nationwide analysis","volume":"51","author":"Mikdad","year":"2020","journal-title":"Injury"},{"key":"10.25259\/NMJI_464_2022\/ref-7","doi-asserted-by":"publisher","first-page":"3365","DOI":"10.1016\/j.injury.2022.07.025","article-title":"Inflate and pack! 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