Table 2 Summary of included systematic reviews
Author | Year of Publication | Number of studies included | Study designs | Total number of patients/participants/cases | Meta-analysis performed | Summary | LOEa |
|---|---|---|---|---|---|---|---|
Bakhshayesh, et al. [29] | 2016 | 16 | One RCT, two before-after studies, four retrospective cohort studies and nine case series (including six cadaver studies) | 1377 | No | Included studies suggest that PCCDs are effective in reducing a pelvic ring fracture. PCCDs may contribute to favourable physiological effects during the early phase of resuscitation. However, study results are inconclusive and conflicting with regards to other outcome measures, i.e. mortality, hospital length of stay, and intensive care unit (ICU) length of stay. Almost all types of PCCDs may potentially cause pressure ulcers if used for extensive periods due to inevitable tension over bony prominences. | 2 |
Cullinane, et al. [30] | 2011 | 6 | One before-after study, two retrospective cohort studies, three case series (including two cadaver studies) | 460 | No | This systematic review was conducted for the development of clinical guidelines for surgical and non-surgical management of haemorrhage in pelvic fractures. Those studies which were included to evaluate the role of non-invasive temporary external fixation devices suggest that temporary binders reduce pelvic volume and may improve biomechanical stability. The effectiveness of non-invasive temporary external fixation devices limiting haemorrhage is unclear. They do not seem to affect mortality. Pelvic binders may cause tissue trauma due to shearing forces during the application process and skin breakdown over bony prominences when used over prolonged periods. | 3 |
Spanjersberg, et al. [31] | 2009 | 17 | One before-after study, one retrospective cohort study, five case series (including three cadaver studies), seven case reports, three opinions | 250 | No | The reviewers concluded that available studies suggest that PCCDs may facilitate reduction of fractures and associated haemorrhage. However, data concerning mortality is lacking. Although the literature suggests no life-threatening complications occur with the use of PCCDs, the nature, severity and rates of complications is not fully known. Most obvious is a certain risk of damage to skin and potential iatrogenic injury to internal organs. | 3 |