Research Article

Survivorship and Severe Complications Are Worse for Octogenarians and Elderly Patients with Pelvis Fractures as Compared to Adults: Data from the National Trauma Data Bank

Table 3

Frequency distribution of characteristics for the population with isolated, closed, and severe pelvic fractures (AIS ≥ 3), .

VariableAge group
Adults
(18–64 years)
n (%)
N = 2,174
Elderly
(65–79 years)
n (%)
N = 463
Octogenarian
(≥80 years)
n (%)
N = 436
Total
n (%)

Gender
 Male1,277 (58.8)192 (41.5)96 (22.0)1,565 (51.0)
 Female895 (41.2)271 (58.5)340 (78.0)1,506 (49.0)

Race
 Caucasian1,432 (74.7)370 (89.4)380 (93.6)2,183 (79.7)
 African American190 (9.9)17 (4.1)13 (3.3)220 (8.1)
 Asian/Pacific Islander24 (1.2)4 (1.0)1 (0.2)29 (1.0)
 Hispanic216 (11.3)11 (2.7)3 (0.7)230 (8.4)
 Native American7 (0.4)1 (0.2)0 (0.0)8 (0.3)
 Other48 (2.5)11 (2.6)9 (2.2)68 (2.5)

Survival
 Survived2,047 (94.2)428 (92.4)393 (90.3)2,868 (93.4)
 Died127 (5.8)35 (7.6)42 (9.7)204 (6.6)

Severe complication*
 Yes173 (8.0)51 (11.0)51 (11.7)275 (9.0)
 No2,001 (92.0)412 (89.0)384 (88.3)2,797 (91.0)

Fracture location
 Ilium266 (12.2)40 (8.6)24 (5.5)330 (10.7)
 Ischium 58 (2.7)10 (2.2)11 (2.5)79 (2.6)
 Pubis1,230 (56.6)309 (66.7)323 (74.1)1,862 (60.6)
 Multiple315 (14.5)50 (10.8)21 (4.8)386 (12.6)
 Unspecified80 (3.7)14 (3.0)11 (2.5)105 (3.4)
 Other225 (10.3)40 (8.7)46 (10.6)311 (10.1)

Systolic blood pressure (mmHg)
 <90208 (9.6)63 (13.6)44 (10.1)315 (10.2)
 90–1391,354 (62.3)209 (45.2)163 (37.4)1,726 (56.2)
 140+612 (28.1)191 (41.2)229 (52.5)1,032 (33.6)

MOI**
 Motor vehicle1,213 (55.8)141 (30.4)83 (19.0)1,437 (46.8)
 Motorcycle221 (10.2)8 (1.7)0 (0.0)229 (7.5)
 Pedestrian82 (3.8)11 (2.4)3 (0.7)96 (3.1)
 Crush121 (5.6)21 (4.5)8 (1.8)150 (4.9)
 High fall292 (13.4)72 (15.6)97 (22.2)461 (15.0)
 Low fall245 (11.3)210 (45.4)245 (56.2)700 (22.8)

AIS of pelvis
 31,845 (84.9)415 (89.6)417 (95.6)2,677 (87.1)
 4267 (12.3)41 (8.9)13 (3.0)321 (10.5)
 562 (2.8)7 (1.5)6 (1.4)75 (2.4)
 60 (0.0)0 (0.0)0 (0.0)0 (0.0)

ISS††
 <16936 (43.0)289 (62.4)340 (78.0)1,565 (50.9)
 ≥161,238 (57.0)174 (37.6)96 (22.0)1,508 (49.1)

Acute respiratory stress syndrome
 Yes33 (1.5)5 (1.1)6 (1.4)44 (1.4)
 No2,141 (98.5)458 (98.9)430 (98.6)3,029 (98.6)

Renal failure
 Yes11 (0.5)9 (1.9)1 (0.2)21 (0.7)
 No2,163 (99.5)454 (98.1)435 (99.8)3,052 (99.3)

Pulmonary embolism
 Yes10 (0.5)5 (1.1)2 (0.5)17 (0.6)
 No2,164 (99.5)458 (98.9)434 (99.5)3,056 (99.4)

ICU stay
 <1 week1,931 (88.8)403 (87.0)407 (93.4)2,741 (89.2)
 ≥1 week243 (11.2)60 (13.0)29 (6.6)332 (10.8)

Hospital stay
 <1 week1,145 (52.7)264 (57.0)310 (71.1)1,719 (55.9)
 ≥1 week1,029 (47.3) 199 (43.0)126 (28.9)1,354 (44.1)

Major procedure
 CRIF1 (0.1)0 (0.0)0 (0.0)1 (0.1)
 ORIF17 (0.8)1 (0.2)0 (0.0)18 (0.6)
 Closed dislocation reduction7 (0.3)0 (0.0)0 (0.0)7 (0.2)
 Open dislocation reduction16 (0.7)0 (0.0)0 (0.0)16 (0.5)
 Other551 (25.3)45 (9.7)14 (3.2)610 (19.8)
 No major procedure1,582 (72.8)417 (90.1)422 (96.8)2,421 (78.8)

*Severe complication is defined as having one or more of the following during hospital course: pulmonary embolism, renal failure, acute respiratory distress syndrome, or death.
**MOI: mechanism of injury.
AIS: abbreviated injury scale.
††ISS: injury severity score.