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Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

Revista Médica Científica CAMbios Vol. 18(1) Ene-Jun 2019
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Keywords

Pelvis
Medical emergency
Prevalence
Wounds and Injuries
Morbidity and mortality indicators
Diagnosis

How to Cite

1.
Prevalence of Pelvic Fractures at the Carlos Andrade Marin Specialty Hospital, 2017-2018. Cambios rev. méd. [Internet]. 2019 Jun. 28 [cited 2025 Dec. 9];18(1):28-34. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/386

Abstract

INTRODUCTION. Pelvic fractures occur with varying severity, from low energy injuries,
to secondary injuries to high energy trauma, which lead to pelvic ring instability, with associated injuries and high morbidity and mortality rates. The initial management is based on the application of advanced life support protocols, reducing pelvic bleeding with measures that reduce the volume of blood loss in the pelvic cavity and stabilization of the lesion. After the initial stabilization of the patient, the primary objective lies in the anatomical restoration of the pelvic ring predictive of functional recovery. OBJECTIVE. To assess the prevalence of patients with pelvic fractures admitted to the Orthopedics Unit of a third level hospital. MATERIALS AND METHODS. It was an observational, descriptive, cross-sectional study, with population 44126, a sample of 233 patients, inclusion criteria: diagnosis of pelvic fractures, admitted to the unit, exclusion criteria: age under 18 years, records were were incomplete, the study was
in patients who entered the Orthopedics and Traumatology Service of the Carlos Andrade
Marín Specialties Hospital, in the period from January 1, 2017 to December 31, 2018. The review of the Unique Clinical History of the AS400 system of the Hospital, the data was analyzed with the help of SPSS v22. RESULTS. An annual prevalence of 0,255% was reported. On average global age 31 +/- 5.6 years old, with a range of 18 to 67 years. Affectation of 90,2% in economically active population, the most common cause was traffic accidents 68,6% (160;233), 81,61% (190;233) was male,
18,38% (43;233) female. CONCLUSION. Pelvic fractures represented pathologies of high morbidity and mortality, with an annual revalence of 0,2% reported in the Carlos Andrade Marín Specialties Hospital, major affectation in economically active population, ratio of 3 to 1, in relation to men and women, traffic accidents the most prevalent etiology. The transfer time to the reference hospital is greater than 120 minutes in most cases, surgical management in patients who required it improved their functional prognosis.

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References

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