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Risk factors for loss to follow up of pelvis and acetabular fractures

Colin K Cantrell1, Gregory H Versteeg1, Cody J Goedderz1

  • 1Department of Orthopaedic Surgery, Northwestern Feinberg School of Medicine, 676 N St Clair Ave, Suite 1350, Chicago, IL, 60611, USA.

Injury
|September 2, 2022
PubMed

Insights

Pelvic and acetabular fracture patients have high loss to follow-up rates. Male sex, gunshot wounds, and general trauma surgery increase this risk, while orthopedic surgery and operative treatment improve follow-up for these complex injuries.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Patient Outcomes

Background:

  • Pelvic and acetabular fractures are increasing globally.
  • No prior studies identified risk factors for loss to follow-up in these patients.

Purpose of the Study:

  • Identify risk factors associated with loss to follow-up in patients with pelvic and acetabular fractures.
  • Determine factors that improve patient adherence to follow-up care.

Main Methods:

  • Retrospective review of 446 patients with pelvic and/or acetabular fractures (2015-2020).
  • Data collected included demographics, injury details, treatment, and follow-up status.
  • Statistical analysis to determine odds ratios for loss to follow-up.

Main Results:

  • 61% of patients attended their orthopedic clinic follow-up.
  • Gunshot wound mechanism (OR=2.134), male sex (OR=1.859), and general trauma surgery (OR=1.841) were significant risk factors for loss to follow-up.
  • Operative treatment (OR=0.239) and orthopedic surgery discharge (OR=0.372) were protective factors for follow-up.

Conclusions:

  • Male sex, ballistic injuries, and non-orthopedic discharge services are associated with higher loss to follow-up.
  • Orthopedic surgical management and discharge are associated with better follow-up rates.
  • Interventions are needed to improve follow-up adherence in this patient population.
Abstract

Keywords:
Acetabular fractureFollow upPelvis fracture

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