AB220. SOH25_AB_177. Patient and fracture characteristics associated with hospital admission and surgery in low-energy pelvic fractures: a retrospective cohort study
Orthopaedic Posters

AB220. SOH25_AB_177. Patient and fracture characteristics associated with hospital admission and surgery in low-energy pelvic fractures: a retrospective cohort study

Jensen Murphy1, Mina Tohidi2, Maurice Ennis2, Ivan Iankovitch2, Faizal Kassam2, Jeff Yach2

1Faculty of Education & Health Services, School of Medicine, University of Limerick, Garraun, Castletroy, Limerick, Ireland; 2Department of Surgery, Queens University, Kingston, Ontario, Canada

Background: The objective was to assess how patient and fracture characteristics relate to hospital admission and surgery for low-energy pelvic injuries.

Methods: We are conducting a retrospective cohort study by reviewing emergency department (ED) visits for pelvic/sacral fractures between January 2015 and September 2022 at our tertiary care hospital. Inclusion/exclusion criteria were applied to isolate patients aged 18+ years with low-energy pelvic fractures. Data on demographics, ED/hospital visits, and surgeries are being collected. Preliminary analyses for the cohort include summary statistics, relative risk ratios (RR), and student T-tests where applicable.

Results: Of 715 visits, 195 patients were included with isolated low-energy pelvic fractures. Median age was 83 years old with 80.5% (n=157) female. Most patients presented from home (74.4%) or retirement home (19.5%). Computed tomography scans were performed for 67.5% of patients, 66.5% underwent orthopaedic surgery consultation, and 63.9% underwent physiotherapy consultation. Median length of ED visit was 22.8 hours. Nearly half of patients were hospitalized (48.2%), while 37.4% returned home and 10.3% received additional services. The median hospital stay was 11.9 days. Admitted patients were older, had more medical issues, and often needed mobility aids. Thirteen patients underwent surgery. Surgical patients were, on average, younger (69.4 versus 80.1 years old). Median time from admission to surgery was 3.5 days, and from surgery to discharge was 8.4 days.

Conclusions: Older, frailer patients are more likely to need hospital admission for low-energy pelvic fractures. Once data collection is complete, we will assess clinically significant links between patient/fracture characteristics, hospital admission, and operative management.

Keywords: Fracture characteristics; hospital admission; low-energy pelvic fracture; operative management; patient characteristics

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab220
Cite this abstract as: Murphy J, Tohidi M, Ennis M, Iankovitch I, Kassam F, Yach J. AB220. SOH25_AB_177. Patient and fracture characteristics associated with hospital admission and surgery in low-energy pelvic fractures: a retrospective cohort study. Mesentery Peritoneum 2025;9:AB220.

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