@article{ref1,
title="Short-term pelvic fracture outcomes in adolescents differ from children and adults in the National Trauma Data Bank",
journal="Journal of children's orthopaedics",
year="2015",
author="Marmor, Meir and Elson, Joshua and Mikhail, Christopher and Morshed, Saam and Matityahu, Amir",
volume="9",
number="1",
pages="65-75",
abstract="BACKGROUND: Pediatric pelvic fractures are associated with high-energy trauma and injury to other systems, leading to an increased incidence of complication and mortality. Previous studies analyzed the pediatric population as a whole, including both children and adolescents. The purpose of this study was to examine whether adolescents with pelvic fracture have different complication and mortality rates compared to younger children and adults. <br><br>METHODS: Using the National Trauma Data Bank, 37,784 patients below the age of 55 years with pelvic fractures were identified and divided into children (age <13 years), adolescents (age 13-17 years), and adults (age >17 years). Descriptive statistics and bivariate and multivariate analyses were performed. <br><br>RESULTS: Children had an increased odds of death [odds ratio (OR) 2.29, 95 % confidence interval (CI) 1.96-2.67] and complications (OR 1.36, 95 % CI 1.20-1.55), whereas adolescents had a decrease in odds of death (OR 0.89, 95 % CI 0.74-1.06) and complications (OR 0.70, 95 % CI 0.61-0.81) compared to the adult population. <br><br>CONCLUSIONS: Adolescents with pelvic fractures exhibit a different physiologic response to the children and adult populations. This emphasizes the need to distinguish these subpopulations in future epidemiological research and treatment planning.<p /> <p>Language: en</p>",
language="en",
issn="1863-2521",
doi="10.1007/s11832-015-0634-3",
url="http://dx.doi.org/10.1007/s11832-015-0634-3"
}