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Table 1 Demographics, clinical presentation and outcome of pediatric pelvic fracture based on management

From: Clinical characteristics, injury pattern and management of pediatric pelvic fracture: An observational retrospective study from a level I trauma center

  Overall n = 119 Conservative (n = 96; 80.7%) Surgery (n = 23; n = 19.3%) P value
Age in years (mean ± SD 11.5 ± 5.8 11.1 ± 5.8 13.5 ± 5.5 0.06
Males % 93 (78.2%) 75 (78.1%) 18 (78.3%) 0.98
Mechanism of injury %     
Motor vehicle crashes 63 (52.9%) 46 (47.9%) 17 (73.9%) 0.17 for all
Fall 15 (12.6%) 13 (13.5%) 2 (8.7%)
Pedestrian 28 (23.5%) 24 (25.0%) 4 (17.4%)
Others 13 (10.9%) 13 (13.6%) 0 (0.0%)
Associated injuries %     
Chest 55 (46.2%) 49 (51.0%) 6 (26.1%) 0.03
Spine 32 (26.9%) 26 (27.1%) 6 (26.1%) 0.92
Abdomen 41 (34.5%) 34 (35.4%) 7 (30.4%) 0.65
Head 29 (24.4%) 26 (27.1%) 3 (13.0%) 0.15
Lower extremity 21 (17.6%) 17 (17.7%) 4 (17.4%) 0.97
Injury Severity Score (mean ± SD) 16.2 ± 11.0 15.9 ± 10.5 17.0 ± 13.3 0.68
Revised Trauma Score (mean ± SD) 7.3 ± 1.2 7.3 ± 1.2 7.6 ± 0.8 0.14
Pelvis AIS 2.2 ± 0.6 2.1 ± 0.4 2.7 ± 0.9 0.001
Torode fracture classification % (n = 104)    
Type I 6 (5.8%) 6 (6.9%) 0 (0.0%) 0.001 for all
Type II 14 (13.5%) 13 (14.9%) 1 (5.9%)
Type III 71 (68.3%) 67 (77.0%) 4 (23.5%)
Type IV 13 (12.5%) 1 (1.1%) 12 (70.6%)
Acetabular fracture % 10 (8.4%) 4 (4.2%) 6 (26.1%) 0.001
Open triradiate cartilage % 56 (51.4%) 49 (56.3%) 7 (31.8%) 0.04 for all
Closed triradiate cartilage % 53 (48.6%) 38 (43.7%) 15 (68.2%)
Intubation % 24 (20.2%) 21 (21.9%) 3 (13.0%) 0.34
FAST scan % (n = 109) 12 (11.0%) 8 (9.2%) 4 (18.2%) 0.22
Blood transfusion % 47 (39.5%) 34 (35.4%) 13 (56.5%) 0.06
Number of blood units (median and range) 3 (1–51) 4 (1–29) 2 (1–51) 0.52
Massive blood transfusion % 8 (6.7%) 5 (5.2%) 3 (13.0%) 0.17
In-hospital complications %     
Pneumonia 8 (6.7%) 7 (7.3%) 1 (4.3%) 0.61
Sepsis 2 (1.7%) 1 (1.0%) 1 (4.3%) 0.26
ARDS 1 (0.8%) 0 (0.0%) 1 (4.3%) 0.43
Acute Kidney Injury 4 (3.4%) 3 (3.1%) 1 (4.3%) 0.77
Deep vein thrombosis 1 (0.8%) 1 (1.0%) 0 (0.0%) 0.62
Ventilatory days (median and range) 7 (1–31) 6 (1–31) 7 (3–27) 0.60
ICU length of stay (median and range) 4 (1–35) 4 (1–33) 4.5 (1–35) 0.93
Hospital length of stay (median and range) 10 (1–85) 9 (1–85) 13 (1–74) 0.17
Mortality % 3 (2.5%) 2 (2.1%) 1 (4.3%) 0.53