Matching des Beckenregisters DGU mit dem TraumaRegister DGU

Abstract Background. Complex pelvic traumas, i.e., pelvic fractures accompanied by pelvic soft tissue injuries, still have an unacceptably high mortality rate of about 18%.Patients and methods. We retrospectively evaluated an intersection set of data from the TraumaRegister DGU® and the German Pel-vicInjuryRegisterfrom2004–2009.Patientswith complex and noncomplex pelvic trau-mas were compared regarding their vital pa-rameters, emergency management, stay in the ICU, and outcome.Results. From a total of 344 patients with pelvicinjuries,21%ofpatientshadacom-plex and 79% a noncomplex trauma. Com-plex traumas were significantly less likely to survive (16.7% vs. 5.9%). Whereas vital pa-rameters and emergency treatment in the preclinical setting did not differ substantial-ly, patients with complex traumas were more often in shock and showed acute traumat-ic coagulopathy on hospital arrival, which re-sulted in more fluid volumes and transfu-sions when compared to patients with non-complex traumas. Furthermore, patients with complex traumas had more complications andlongerICUstays.Conclusion. Prevention of exsanguination and complications like multiple organ dys-function syndrome still pose a major chal-lenge in the management of complex pel-vic traumas.