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- Title
Role of pelvic packing in the first attention given to hemodynamically unstable pelvic fracture patients: a meta-analysis.
- Authors
Li, Pengyu; Liu, Fanxiao; Li, Qinghu; Zhou, Dongsheng; Dong, Jinlei; Wang, Dawei
- Abstract
<bold>Purpose: </bold>To evaluate the effectiveness of pelvic packing (PP) in pelvic fracture patients with hemodynamic instability.<bold>Materials and Methods: </bold>Three databases-PubMed, Embase and the Cochrane Library-were systematically searched to identify studies presenting comparisons between a protocol including PP and a protocol without PP. Mortality, transfusion requirement and length of hospitalization were extracted and pooled for meta-analysis. Relative risk (RR) and standard mean difference (SMD), along with their confidence intervals (CIs), were used as the pooled statistical indices.<bold>Results: </bold>Eight studies involving 480 patients were identified as being eligible for meta-analysis. PP usage was associated with significantly reduced overall mortality (RR = 0.61, 95% CI = 0.47-0.79, p < 0.01) as well as reduced mortality within 24 h after admission (RR = 0.42, 95% CI = 0.26-0.69, p < 0.01) and due to hemorrhage (RR = 0.26, 95% CI = 0.14-0.50, p < 0.01). The usage of PP also decreased the need for pre-operative transfusion (SMD = - 0.44, 95% CI = - 0.69 to - 0.18, p < 0.01), but had no influence on total transfusion during the first 24 h after admission (SMD = 0.05, 95% CI = - 0.43-0.54, p = 0.83) and length of hospitalization (ICU stay and total stay).<bold>Conclusions: </bold>This meta-analysis indicates that a treatment protocol including PP could reduce mortality and transfusion requirement before intervention in pelvic fracture patients with hemodynamic instability vs. angiography and embolization. This latter technique could be used as a feasible and complementary technique afterwards.<bold>Level Of Evidence:3: </bold>
- Publication
Journal of Orthopaedics & Traumatology, 2022, Vol 23, Issue 1, p1
- ISSN
1590-9921
- Publication type
meta analysis
- DOI
10.1186/s10195-022-00647-6