Risk factors for loss to follow up of pelvis and acetabular fractures |
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| Affiliation: | 1. Department of Orthopaedic Surgery, Northwestern Feinberg School of Medicine, 676 N St Clair Ave, Suite 1350, Chicago, IL, 60611, USA;2. Department of Orthopaedic Surgery, John H Stroger Hospital of Cook County, 1969 Odgen Ave, Chicago, IL, 60612, USA;3. Department of Orthopaedic Surgery, Rush University Medical Center, 1620 W Harrison St, Chicago, IL, 60612, USA;1. Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA;2. University of Maryland School of Medicine, Baltimore, Maryland, USA;3. University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA;4. MetroHealth Medical Center, Cleveland, Ohio, USA;5. Department of Orthopaedic Surgery, Indiana University Health, Methodist Hospital, Indianapolis, Indiana, USA;6. Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA;7. University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA;8. Department of Orthopaedics, University of Utah Hospital, Salt Lake City, Utah, USA;9. Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky School of Medicine, Lexington, Kentucky, USA;10. Department of Orthopedic Surgery, UT Health Science Center at Houston, Houston, Texas, USA;11. Department of Orthopedics and Rehabilitation, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin, USA;12. Department of Orthopaedic Surgery, Stanford Health Care, Stanford, California, USA;13. Allegheny General Hospital, Pittsburgh, Pennsylvania, USA;14. Department of Orthopedic Surgery, Washington University, Saint Louis, Missouri, USA;15. Department of Orthopaedics, The University of Kansas Health System, Kansas City, Kansas, USA;p. University of Florida Health, Gainesville, Florida, USA;q. Department of Orthopaedic Surgery, Duke University Hospital, Durham, North Carolina, USA;r. Atrium Health, Charlotte, North Carolina, USA;s. Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, Mississippi, USA;t. Department of Orthopaedics, Dartmouth-Hitchcock Health, Lebanon, New Hampshire, USA;u. Department of Orthopaedic Surgery, UCSF Health, San Francisco, California, USA;v. Department of Orthopaedic Surgery, Brigham and Women''s Hospital, Boston, Massachusetts, USA;w. Department of Orthopaedic Surgery, Hennepin Healthcare, Minneapolis, Minnesota, USA;1. Department of Orthopaedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daeg-Gu, Republic of Korea;2. Regional Trauma Center, Division of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Republic of Korea;3. Department of Orthopaedic Surgery, College of Medicine, Gyeongsang National University, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon-si 51472, Republic of Korea;4. Medical ICT Convergence Research Center, Institute of Health Sciences, College of Medicine, Gyeongsang National University, 816 Beongil 15, Jinju-daero, Jinju-si 52727, Republic of Korea;1. William Beaumont Army Medical Center, Fort Bliss, El Paso, TX, USA;2. Texas Tech University Health Science Center, El Paso, TX, USA;3. Medical College of Georgia at Augusta University, Augusta, GA, USA;4. Department of Orthopaedic Surgery and Rehabilitation, Carthage Area Hospital, Carthage, NY, USA;5. Annapolis Hand Center, Annapolis, MD, USA;6. Uniformed Services University of the Health Sciences, Bethesda, MD, USA;1. Department of Orthopaedics, West China Hospital, Sichuan University, No. 37 Guoxue Lane, Chengdu, 610041 Sichuan, China;1. Department of Orthopedics, Third People''s Hospital of Hubei Province, Wuhan 430000, China;2. Department of Orthopedic Trauma, Wuhan Fourth Hospital, Wuhan 430000, China |
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| Abstract: | ![]()
IntroductionPelvic and acetabular fracture incidence is increasing worldwide for more than four decades. There is currently no evidence examining risk factors for loss to follow up in patients with these injuries.MethodsPatients presenting with pelvic and/or acetabular fractures at our institution between 2015 and 2020 were included. Demographic, injury, treatment, and follow up information was included. Excluded patients were those who sustained a pathologic fracture, has a course of treatment prior to transfer to our centre, or expired prior to discharge.Results446 patients, 263 with a pelvic ring injury, 172 with an acetabular fracture, and 11 with combined injuries were identified. 271 (61%) of patients in our cohort followed up in Orthopaedic clinic (p = 0.016). With an odds ratio of 2.134, gunshot wound mechanism of injury was the largest risk factor for loss to follow up (p = 0.031) followed by male sex (OR= 1.859) and surgery with general trauma surgery (OR=1.841). The most protective risk factors for follow up with Orthopaedic surgery were operatively treated pelvic and acetabular fractures (OR=0.239) and Orthopaedic Surgery as the discharging service (OR=0.372).DiscussionNumerous risk factors exist for loss to follow up including male sex, ballistic mechanism, and discharging service. Investigation into interventions to improve follow up in these patients are warranted. |
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