| dc.description.abstract | Background: Although relatively rare, pelvic fractures signify major trauma that are frequently
associated with multiple injuries, threat to life and poor functional outcome. This study aimed to
establish poor outcome determinants in traumatic pelvic fracture patients admitted and treated at
three urban PNFP Hospitals in Kampala.
Methods: A cross-sectional study reviewing charts of patients admitted and treated at three
urban PNFP hospitals in Kampala, Uganda between January 2014 and December 2018. A
pretested data abstraction form was used to obtain data. All variables with a p-value < 0.24 at
bivariate logistic regression were included in multivariate analysis. A backward stepwise
elimination method was used to identify predictors of poor outcome, with Odds Ratios at 95%
confidence intervals used to report results. Data was analyzed using STATA version 14.0 at a p value < 0.05.
Results: Of the 73 patients admitted and treated for pelvic fractures, 40(54%) were males and
the mean age of 37.4± 17.7 years. Overall, 83.3% fractures were stable while 16.7% were
unstable. The most commonly associated injuries were in extremities (52.38%), head and neck
region (25.40%), abdomen (7.94%) and chest regions (7.94%). Factors significantly associated
with poor outcome among patients with pelvic fractures were surgical intervention (p = 0.001)
and poor heart rate (p = 0.008), regardless of whether stable or unstable pelvic fractures.
Conclusion: Poor Outcome determinants for pelvic fracture were operational interventions and
elevated heart rate. Associated injuries were mainly in the extremities and head and neck regions.
Deliberate and focused attention should be given to stabilize the cardiovascular system in pelvic
fracture patients who present with elevated heart rate.
Very close monitoring of pelvic fracture patients who require or have undergone operative
intervention is very essential for optimal outcome. | en_US |
