Higher glucose on admission is associated with need for angioembolization in stable pelvic fracture.
BACKGROUND
Angioembolization is an effective adjunct to the management of retroperitoneal hemorrhage in pelvic fractures. Most patients with stable-type pelvic fracture are treated conservatively. However, in some stable pelvic fracture cases, patients should receive angioembolization for hemostasis upon incidental finding of contrast extravasation on computed tomography (CT). In this study, we attempted to define the characteristics of patients with stable pelvic fracture requiring angioembolization.


METHODS
We retrospectively reviewed the charts of patients with pelvic fractures between January 2005 and November 2009. We focused on stable pelvic fracture patients with contrast extravasation on CT who then received angioembolization. The demographics, Injury Severity Score (ISS), Abbreviated Injury Scale score, and the blood glucose levels on admission were analyzed.


RESULTS
In total, 334 patients were enrolled. Patients with higher blood glucose level on admission with stable pelvic fracture had a higher rate of angioembolization. Furthermore, these patients presented with a higher Abbreviated Injury Scale score and ISS.


CONCLUSIONS
In patients with stable pelvic fracture, higher blood glucose level on admission was associated with a higher likelihood of needing angioembolization. Blood glucose level should be checked during the initial survey of a pelvic fracture, and greater attention should be given to patients with higher blood glucose level or with an ISS of 25 or greater, even when the imaging study only reveals a stable pelvic fracture.
Fu
Chih Yuan
CY
Trauma and Emergency Center, China Medical University Hospital, Taichung, Taiwan. drfu5564@yahoo.com.tw
Wang
Yu Chun
YC
Wu
Shih Chi
SC
Chen
Yuan Fang
YF
Chen
Ray Jade
RJ
Hsieh
Chi Hsun
CH
Huang
Hung Chang
HC
Huang
Jui Chien
JC
Lu
Chih Wei
CW
Huang
Yi Chieh
YC
D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D004621:Embolization, Therapeutic / Q000706:statistics & numerical data; D005260:Female; D050723:Fractures, Bone / Q000097:blood / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
D001786:Blood Glucose