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Predictors of Demetriades et al for Urinary Bladder or Urethral Injuries in a Patient with a Pelvic Fracture

Description

Demetriades et al identified factors associated with injuries to the urinary bladder or urethra in a patient with a pelvic fracture. These can help to identify a patient whose genituourinary tract should be evaluated. The authors are from the University of Southern California in Los Angeles.


 

Patient selection: trauma patient with pelvic fracture

 

Outcome: injury to the urinary bladder or urethra

 

Parameters (with significant p values):

(1) pelvis AIS

(2) gender

(3) motorcycle accident

 

Parameter

Finding

OR

pelvis AIS

2

1

 

3

2.5

 

4

3.1

 

5

3.2

gender

female

1

 

male

1.8

motorcycle accident

no

1

 

yes

2.3

 

cumulative odds ratio for injury to bladder or urethra =

= PRODUCT(odds ratios for each parameter)

 

Interpretation:

• minimum cumulative OR: 1

• maximum cumulative OR: 13.2

 


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Specialty

ICD-10