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Displaced anterior pelvic fracture on initial pelvic radiography predicts massive hemorrhage

The American Journal of Emergency Medicine Mar 29, 2018

Tanizaki S, et al. - At the Fukui Prefectural Hospital, researchers investigated if the presence of an anterior pelvic fracture on initial pelvic radiography alone could identify patients who are at a high risk of major hemorrhage. A higher frequency of anterior pelvic fractures on pelvic radiography and higher frequency of posterior pelvic fractures on computed tomography were noted among patients with massive hemorrhage compared to those without massive hemorrhage. As per logistic regression analysis, predictors of massive pelvic hemorrhage included displacement of the obturator ring by ≥5 mm, obturator ring with laterality of ≥5 mm, and displacement of the pubic symphysis by ≥4 mm on pelvic radiography.
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