Summary
There is weak evidence from four retrospective cohort studies that show that early
versus delayed fixation of pelvic ring fractures is associated with a reduced length
of hospital stay and a reduction in pulmonary complications. Short-term functional
status may also be greater among patients receiving early versus delayed fixation.
However, these results may be influenced by confounding by indication. Randomized
controlled trials are recommended to verify these results, as is the establishment
of a consistent definition for „early” versus „delayed,” and to determine the effects
of early versus delayed fixation on long-term patient reported outcomes and quality
of life.
Appendix
Modified Barthel index
Measures level of patient independence in ten activities of daily living: feeding,
transfers, personal hygiene, toilet transfers, bathing, walking, stairs, dressing,
and bladder and bowel continence, with a maximum possible score of 100. A higher score
indicates better function / greater independence. The mobility component was used
in this study [Plaisier].
- 1
Mahoney F I, Barthel D W.
Functional evaluation: the Barthel index.
Maryland State Medical Journal.
1965;
14
61-65
- 2
Granger C V, Albrecht G L, Hamilton B B.
Outcome of comprehensive medical rehabilitation: Measurement by PULSES and the Barthel
index.
Archives of Physical Medicine and Rehabilitation.
1979;
60
145-154
