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 4
Bivariate analysis for the population with isolated, closed, and severe pelvic fractures (AIS ≥ 3), comparing predictors upon arrival to the emergency department with the outcomes death and severe complication (odds ratios and 95% confidence intervals), .
Predictors
Outcome
Death
Severe complication*
Male
1.04 (0.78–1.38)
1.25 (0.98–1.61)
Not Caucasian
1.29 (0.95–1.74)
1.13 (0.87–1.47)
Adult (18–64 years)
0.66 (0.49–0.89)
0.67 (0.52–0.87)
Elderly (65–79)
1.18 (0.81–1.72)
1.31 (0.95–1.81)
Octogenarian (>80 years)
1.63 (1.14–2.32)
1.43 (1.03–1.97)
Hypovolemic shock
8.43 (6.20–11.50)
6.85 (5.17–9.07)
Head injury
4.38 (3.03–6.33)
4.80 (3.46–6.67)
ISS† ≥ 16
13.0 (7.90–21.5)
15.1 (9.61–23.7)
Motor vehicle accident
2.28 (1.70–3.07)
2.17 (1.68–2.80)
Motorcycle accident
1.30 (0.79–2.12)
1.10 (0.69–1.72)
Fall from height
0.63 (0.40–1.00)
0.75 (0.51–1.10)
Low energy fall
0.16 (0.10–0.30)
0.21 (0.13–0.35)
Crush
1.23 (0.67–2.25)
1.04 (0.59–1.83)
Pedestrian versus auto
1.46 (0.72–2.94)
1.60 (0.88–2.91)
*Severe complication is defined as having one or more of the following during hospital course: pneumonia, bacteremia, deep vein thrombosis, pulmonary embolism, renal failure, acute respiratory distress syndrome, or death. †ISS: injury severity score.
