Clinical examination and its sensitivity in identifying pelvic fractures
چکیده
Introduction: Although pelvic fracture injuries are one of rare injuries; but pelvic fractures are among the most important challenge in caring for the injured patient in emergency room. Overall Traumatic injury is the leading cause of death worldwide among persons between 5 and 44 years of age and accounts one of three leading causes of mortality along with cancer and cardiovascular disease. we conducted this study to investigate the value of a pelvic radiography has additional value compared to clinical examination alone in diagnosing pelvic fractures in alert patients after blunt trauma to see whether in the emergency department. Methods: This was a cross- sectional study conducted at the Imam Reza hospital in Tabriz, East Azerbaijan Province that is the main and important level I trauma center in North West of Iran. During a 6-month period; from October 2012 to January 2013; total of 641 patients with blunt trauma were refereed to Emergency Medical Services (EMS) of this hospital were identified and based on inclusion criteria; 80 patients (one third) were selected. Inclusions criteria's consist of patients with blunt trauma that estimate had pelvic fracture and were hemodynamically stable and alert [Glasgow Coma Scale (GCS) ? 13]. Results and conclusion: From October 2012 through January 2013 about 648 patients with blunt trauma referred to Imam Reza hospital of which 80 patients (81%) were hemodynamically stable. Sensitivity, Specificity, Positive predictive value and Negative predictive value of pelvic physical examination in detecting the Pelvic fracture in blunt trauma were 97.36%, 80.95%, 82.22% and 97.14%, respectively. The final result of our study aligned with most previous studies and recommended, in alert patients following blunt trauma, with negative findings on clinical examination we can omitted standard pelvic radiographs.