The pathophysiology of pelvic ring injuries: a review.
- Resource Type
- Article
- Authors
- Stahel, Philip F.; Ziran, Navid
- Source
- Patient Safety in Surgery. 5/13/2024, Vol. 18 Issue 1, p1-9. 9p.
- Subject
- *WOUNDS & injuries
*RISK assessment
*PELVIC bones
*PERITONEUM
*BLOOD coagulation disorders
*MICROCIRCULATION
*SEVERITY of illness index
*PELVIC fractures
*ADVERSE health care events
*EPIDEMIOLOGY
*HEMORRHAGE
- Language
- ISSN
- 1754-9493
Traumatic pelvic ring injuries continue to represent a major challenge due to the high rates of post-injury mortality of around 30-40% in the peer-reviewed literature. The main root cause of potentially preventable mortality relates to the delayed recognition of the extent of retroperitoneal hemorrhage and post-injury coagulopathy. The understanding of the underlying pathophysiology of pelvic trauma is predicated by classification systems for grading of injury mechanism and risk stratification for developing post-injury coagulopathy with subsequent uncontrolled exsanguinating hemorrhage. This review article elaborates on the current understanding of the pathophysiology of severe pelvic trauma with a focus on the underlying mechanisms of retroperitoneal bleeding and associated adverse outcomes. [ABSTRACT FROM AUTHOR]