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Table 2 Vital parameters, infusion volume, and blood transfusions during the initial resuscitation period (prehospital phase and time from arrival in the emergency department until arrival on ICU) in relation to the fracture type of the pelvic ring according Tile/OTA fracture classification

From: Acute management and outcome of multiple trauma patients with pelvic disruptions

   Type of pelvic ring fracture according Tile/OTA fracture classification   Pair-wise comparison
  Total Type A Type B Type C Overall test P value (A vs. C) P value (B vs. C) P value (A vs. B)
Prehospital phase Systolic blood pressure (mm Hg, mean ± SD) 109 ± 31 (n = 227) 120 ± 26 (n = 59) 113 ± 31 (n = 73) 100 ± 32 (n = 95) <0.001 <0.001 0.005 n.s.
  Ratio of patients in shock in the field (systolic blood pressure <90 mm Hg) (%) 19.4 (n = 227) 11.9 (n = 7) 16.4 (n = 12) 26.3 (n = 25) 0.065 n.s. n.s. n.s.
  Heart rate (beats/min., mean ± SD) 99 ± 23 (n = 231) 91 ± 18 (n = 62) 101 ± 20 (n = 71) 102 ± 27 (n = 98) 0.006 0.003 n.s. 0.006
  Oxygen saturation (%, mean ± SD) 93 ± 10 (n = 230) 94 ± 6 (n = 53) 92 ± 8 (n = 65) 91 ± 13 (n = 81) 0.578 n.s. n.s. n.s.
  Infusion volume (crystalloids + colloids) (ml, mean ± SD) 1,464 ± 1,032 (n = 258) 1,072 ± 881 (n = 67) 1,608 ± 1,096 (n = 79) 1,596 ± 1,017 (n = 112) <0.001 < 0.001 0.953 <0.001
Emergency department (ED) Systolic blood pressure on ED arrival (mm Hg, mean ± SD) 115 ± 27 (n = 304) 123 ± 25 (n = 69) 115 ± 23 (n = 103) 111 ± 31 (n = 132) 0.013 0.004 n.s. n.s.
  Ratio of patients in shock on ED arrival (systolic blood pressure <90 mm Hg) (%) 12.2 (n = 304) 4.3 (n = 3) 8.7 (n = 9) 18.9 (n = 25) 0.005 0.005 0.039 0.366
  Heart rate (beats/min., mean ± SD) 91 ± 21 (n = 297) 87 ± 19 (n = 68) 92 ± 20 (n = 100) 93 ± 22 (n = 129) 0.143 n.s. n.s. n.s.
  Infusion volume ED to ICU (crystalloids + colloids) (ml, mean ± SD) 2,884 ± 2,471 (n = 290) 1,991 ± 1,975 (n = 67) 2,645 ± 2,438 (n = 103) 3,587 ± 2,565 (n = 120) <0.001 < 0.001 < 0.001 0.118
  Packed red blood cell concentrates ED to ICU (PRBC) (units, mean ± SD) 3.4 ± 7.2 (n = 344) 2.1 ± 5.7 (n = 42) 3.0 ± 6.2 (n = 54) 4.5 ± 8.5 (n = 83) <0.001 < 0.001 n.s. 0.005
  Fresh frozen plasma ED to ICU (FFP) (units, mean ± SD) 3.0 ± 6.6 (n = 344) 1.7 ± 4.9 (n = 37) 2.7 ± 6.3 (n = 52) 3.8 ± 7.5 (n = 73) 0.010 0.003 n.s. n.s.
Total initial resuscitation period Total infusion volume during the initial resuscitation period (crystalloids + colloids) (ml, mean ± SD) 4,626 ± 3,079 (n = 222) 3,173 ± 2,613 (n = 57) 4,677 ± 2,976 (n = 72) 5,476 ± 3,121 (n = 93) <0.001 < 0.001 0.061 <0.001
  1. n.s., not significant.