title: Short-term pelvic fracture outcomes in adolescents differ from children and adults in the National Trauma Data Bank.
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.
  
  
  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.
  
  
  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.
  
  
  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.
authors: Orthopaedic Trauma Institute (OTI), San Francisco General Hospital, University of California, San Francisco (UCSF), 2550 23rd Street, Building 9, 2nd Floor, San Francisco, CA, 94110, USA, marmorm@orthosurg.ucsf.edu.
authors: Meir
authors: M
authors: Marmor
authors: Joshua
authors: J
authors: Elson
authors: Christopher
authors: C
authors: Mikhail
authors: Saam
authors: S
authors: Morshed
authors: Amir
authors: A
authors: Matityahu
references: J Pediatr Orthop. 2005 Sep-Oct;25(5):581-7
references: 16199935
references: J Trauma. 1991 Aug;31(8):1169-73
references: 1875444
references: J Pediatr Surg. 1980 Dec;15(6):727-34
references: 7463272
references: J Trauma. 2004 Jan;56(1):83-8
references: 14749571
references: J Pediatr Surg. 1966 Aug;1(4):353-64
references: 5986476
references: Orthop Clin North Am. 1976 Jul;7(3):615-24
references: 958687
references: J Trauma. 2008 Feb;64(2):449-55
references: 18301214
references: J Pediatr Orthop. 1994 Jul-Aug;14(4):449-53
references: 8077425
references: Am Surg. 2006 Jun;72(6):481-4
references: 16808198
references: J Pediatr Surg. 1996 Jan;31(1):82-5
references: 8632292
references: J Trauma. 2003 Jun;54(6):1146-51; discussion 1151
references: 12813336
references: J Orthop Trauma. 2002 Aug;16(7):458-63
references: 12172275
references: J Pediatr Orthop. 2001 Jul-Aug;21(4):446-50
references: 11433154
references: Injury. 2009 Apr;40(4):410-3
references: 19232592