Description

Salim et al developed a model for identifying how likely a patient with a pelvic fracture will require therapeutic angiography. The authors are from Cedars-Sinai Medical Center and the Los Angeles County and University of California Medical Center in California.


 

Parameters identified during stepwise logistic regression:

(1) gender

(2) type of pelvic fracture

(3) number of minutes that the systolic blood pressure < 100 mm Hg during the first 2 hours

Parameter

Finding

Points

gender

male

0

 

female

1

type of pelvic fracture

without sacroiliac joint disruption

0

 

with sacroiliac joint disruption

1

 

where:

• Sacroiliac joint disruption indicates vertical shear.

• Systolic blood pressure < 100 mm Hg indicates hemodynamic instability.

• The time frame for hypotension was not specified as to time from incident to time from arrival at the hospital.

 

X =

= (1.361 * (points for gender)) + (1.497 * (points for pelvic fracture type)) + (0.354 * ((number of minutes) / 15)) - 1.408

 

probability of therapeutic angiography =

= 1 / (1 + EXP((-1) * X))

 


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