Table 1 Characteristics of patients with unstable pelvic fractures, with and without prehospital PCCD application
noPCCD N = 3514 | PCCD N = 2366 | Total N = 5880 | p value | |
|---|---|---|---|---|
Male sex [%] | 61.3 | 66.0 | 63.2 | < 0.001 |
Age [years] ± SD | 53 ± 21 | 48 ± 19 | 51 ± 20 | < 0.001 |
Penetrating mechanism [%] | 1.2 | 1.5 | 1.3 | 0.27 |
Type of accident | ||||
Road traffic accident [%] | 54.2 | 58.2 | 55.8 | 0.002 |
High fall > 3 m [%] | 29.0 | 32.2 | 30.3 | 0.007 |
Low fall < 3 m [%] | 12.1 | 3.8 | 8.8 | < 0.001 |
ISS [points] ± SD | 29.3 ± 14.6 | 32.2 ± 16.1 | 30.4 ± 15.3 | < 0.001 |
Shock on scene [%] | 15.5 | 24.6 | 19.1 | < 0.001 |
Unconscious on scene [%] | 17.0 | 21.0 | 18.6 | < 0.001 |
Proximal femur fracture [%] | 17.2 | 22.5 | 19.3 | < 0.001 |
Prehospital interventions | ||||
Intubation [%] | 27.0 | 39.6 | 32.0 | < 0.001 |
Catecholamine administration [%] | 12.9 | 24.9 | 17.7 | < 0.001 |
Cardio-pulmonary resuscitation [%] | 4.2 | 7.7 | 5.6 | < 0.001 |
Tranexamic acid administration [%] | 11.8 | 35.0 | 21.1 | < 0.001 |
Crystalloid volume given [ml], median (IQR) | 500 (500–1000) | 1000 (500–1500) | 500 (500–1000) | < 0.001 |
More than 1000 ml of crystalloids given [%] | 16.2 | 29.8 | 21.6 | < 0.001 |
On scene time [minutes] ± SD | 30 ± 16 | 33 ± 17 | 31 ± 17 | < 0.001 |
Transportation by helicopter [%] | 26.6 | 40.5 | 32.3 | < 0.001 |
Hospital care | ||||
Treatment in Level 1 hospital [%] | 81.6 | 90.4 | 85.2 | < 0.001 |
Blood transfusion [%] | 23.7 | 35.5 | 28.4 | < 0.001 |
Mass transfusion [%] | 4.7 | 8.0 | 6.0 | < 0.001 |
Surgical stabilization of pelvis before ICU admission [%] | 24.8 | 38.2 | 30.3 | < 0.001 |
Angio-embolization [N] | 1.4 | 1.8 | 1.5 | 0.270 |
Length of stay on ICU [days], median (IQR) | 4 (1–12) | 5 (2–17) | 4 (2–14) | < 0.001 |
Length of stay in hospital [days], median (IQR) | 18 (10–29) | 20 (11–34) | 19 (10–31) | < 0.001 |