Pelvik kırıkların epidemiyolojik özelliklerinin değerlendirilmesi

Öz

Amaç: Pelvik kırıklı hastaların epidemiyolojik özelliklerini araştırmak. Gereç ve Yöntemler: Acil serviste (AS) pelvik kırıklı hastaların yaşı, cinsiyeti, komorbid hastalık, başvuru mevsimi, yaralanma mekanizmaları, kırık tipi (Young Burgess sınıflaması), ilişkili yaralanmalar ve mortalite değerlendirildi. Bulgular: Çalışmaya alınan 919 hastanın 307’ü (%33,4) kadın ve 612’si (%66,6) erkek idi. Ortalama 36,5 ± 14,82 (18-80) yıl idi. Erkeklerin yaş ortalaması 35,1±13,63 yıl, kadınların ise 39,2±16,63 yıl idi. Erkeklerin %46,4 28-37 yıl aralığında yer almakta idi. 254 (%27,6) hastada komorbit hastalık bulunmaktaydı. 302 (%32,9) hasta kış, 285 (%31) hasta yaz mevsimide başvurmuştu. En sık otomobil kazaları 268 (%29,2) sonra yüksekten düşmeler 211 (%23) nedeni ile meydana gelmişti. Otomobil kazaları en sık kış, yüksekten düşmeler ise yaz mevsiminde daha sıktı. Otomobil kazaları, yüksekten düşmeler, motorsiklet kazaları erkeklerde kadınlardan daha sık iken, kendi seviyesinden düşmeler, araç dışı trafik kazaları, diğer yaralanmalar kadınlarda erkeklerden daha sık olarak izlendi (p<0,001). Kendi seviyesinden düşen kadınların yaş ortalaması 62,79 yıl iken, erkeklerin 68,46 yıl idi. En sık 423 (46%) LC1 tespit edildi. 321 (%34,9) hastada abdominal travma, 299 (%32,5) hastada kafa travması eşlik etmekteydi. Seksen (8.7%) hasta AS’de öldü. Sonuç: Pelvik kırık yaralanmasının en yaygın mekanizmaları otomobil kazaları ve düşmelerdir. Bu kırıklara eşlik eden yaralanmalar sıktır.

Anahtar Kelimeler

• pelvik kırık
• epidemiyoloji
• kırık tipi
• ilişkili yaralanma

Evaluation of epidemiological characteristics of pelvic fractures

Öz

Aim: To investigate the epidemiological characteristics of patients with pelvic fractures. Material and Methods: We evaluated age, gender, comorbid disease, admission season, mechanisms of the injury, type of the fractures (Young Burgess classification), associated injuries, and mortality of patients with pelvic fractures in the emergency department (ED). Results: Of the 919 patients included in the study, 307 (33.4%) were female and 612 (66.6%) were male. The mean age was 36,5±14,82 (18-80) years. The mean age of males was 35.1 ± 13.63 years, and it was 39.2 ± 16.63 years for females. Of the males, 46.4% were in the 28-37 years range. Comorbid diseases were found in 254 (27.6%) patients. Of the patients, 302 (32.9%) were admitted in winter and 285 (31%) in summer. It was mostly occurred due to automobile accidents 268 (29.2%), followed by falls from height 211 (23%). Automobile accidents were most common in the winter season, while falls from height was more common in the summer. While automobile accidents, falls from height, motorcycle accidents were more common in males compared to females, falls from own height, pedestrians hit by a car, and other injuries were observed more frequently in females than males (p <0.001). While the mean age of females fell from their own height was 62.79 years, it was 68.46 years for males. 423 (46%) LC1 was detected most frequently. It was accompanied by abdominal trauma in 321 (34.9%) patients and head trauma in 299 (32.5%) patients. Eighty (8.7%) patients died in ED. Conclusion: The most common mechanisms of pelvic fracture injury are automobile accidents and falls. Associated injuries are frequently observed.

Anahtar Kelimeler

• pelvic fracture
• epidemiology
• type of fracture
• associated injury

Kaynakça

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