Pelvic bone fractures associated with intra-abdominal solid organ injury

Background: This study analyzed the clinical characteristics and prognosis of pelvic bone fractures, the occurrence of accompanying intra-abdominal solid organ injury and the risk factors for intra-abdominal solid organ injury.
Methods: Medical records were retrospectively collected. The subjects were divided into the solid organ and the non-solid organ injury group, with respect to intra-abdominal solid organ injury, to compare demographics, outcomes and prognosis. Risk factors for the occurrence of intra-abdominal solid organ injury in patients with pelvic bone fractures were evaluated.
Results: The solid organ injury group comprised 69 (17.4%) patients. Fall height was greater in the solid organ injury group than the non-solid organ injury group. Initial blood pressure and Revised Trauma Scores were lower in the solid organ injury group. Shock immediately after emergency department arrival was a risk factor for intra-abdominal solid organ injury in trauma patients with pelvic bone fractures. The prognosis of the solid organ injury group was poor and more invasive treatment was performed in this group.
Conclusions: Patient prognosis needs to be improved through early diagnosis and aggressive treatment according to the early prediction of intra-abdominal solid organ injury in trauma patients who present at the emergency department with shock and suspicion of pelvic bone fracture.