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Patient-related quality of life after pelvic ring fractures in elderly

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Abstract

Purpose

Pelvic ring fractures, occurring in elderly patients are a challenging problem. Little known is about the patient-related outcome after these injuries. The primary objective of this study is to evaluate the quality of life after pelvic ring injuries in patients aged over 60 years.

Methods

Patients (≥ 60 years) with pelvic ring fractures treated in our trauma department between 2004 and 2014 were included. Next to patient data, injury-related details as well as treatment details were assessed. After a follow-up of at least two years, the survival rate and the patient-related outcome were evaluated using the SF-36 and the EQ-5D score.

Results

One hundred ninety-six patients (138 women; 58 men; mean age 75.3 ± 7.8 years) were identified. Ninety-six patients were treated operatively, 100 patients conservatively. The overall complication rate was significantly lower for conservatively compared to operatively treated patients (conservatively 18% vs. operatively 33%; p = 0.014). The total mortality rate over 2 years is 29% with no significant difference of the two-year survival rate (2-year survival rate: operatively 77% vs. non-operatively 65%; p = 0.126). Fifty-five patients completed the SF-36 and EQ-5D score after a mean follow-up of 4.2 ± 2.9 years. The mean physical component score of the SF-36 is 33.6 ± 8.3, and the mean mental component score is 45.3 ± 8.4. The mean EQ-5D VAS reached 62.5 ± 27.9.

Conclusion

Elderly patients with pelvic ring fractures show a high mortality rate and a limited patient-related outcome. While the complication rate of conservatively treated patients is lower compared to operated patients, the two year survival rate is steady.

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Authors and Affiliations

  1. Clinic of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany

    Paul Schmitz, Stephan Lüdeck, Florian Baumann, Michael Nerlich & Maximilian Kerschbaum

  2. Caritas-Krankenhaus St. Josef, Landshuter Straße 65, 93053, Regensburg, Germany

    Rainer Kretschmer

Authors
  1. Paul Schmitz
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  2. Stephan Lüdeck
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  3. Florian Baumann
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  4. Rainer Kretschmer
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  5. Michael Nerlich
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  6. Maximilian Kerschbaum
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Correspondence to Maximilian Kerschbaum.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Schmitz, P., Lüdeck, S., Baumann, F. et al. Patient-related quality of life after pelvic ring fractures in elderly. International Orthopaedics (SICOT) 43, 261–267 (2019). https://doi.org/10.1007/s00264-018-4030-8

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  • DOI: https://doi.org/10.1007/s00264-018-4030-8

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