İD Ayhan Tabur, İD Alper Tabur
Eurasian Journal of Critical Care - 2025;7(3):1-10
Objective: We aimed this study with the aim of contributing to the emergency service management of patients with pelvic fracture by examining the distribution of patients with pelvic fractures accepted to our clinic according to age and gender in terms of demo - graphic and clinical characteristics. Methods: A total of 1,324 patients diagnosed with pelvic fractures (ICD-10 codes S32 and T02.1) who presented to the emergency department between April 29, 2017, and April 29, 2022, were included in the study. Demographic characteristics, diagnoses, and the distribution of specialties received were analyzed. Group differences were analyzed using Cramér's V and Pearson's chi² tests, and Cliff's delta and Mann-Whitney U tests. Two-sided significance was assessed at alpha = 0.05. Results: Female patients constituted 55.4% of the cases (n=734; p<0.001). females had a higher mean age than male (female n = 40 [IQR: 26-53] - male n = 033 [IQR: 25-47], in male U = 188,543, p<0.001). Age group distributions differed significantly by sex (chi² = 30.43, p<0.001; Cramér's V = 0.15). Diagnoses differed by gender (chi² = 125.47, p<0.001; V = 0.31). Among pelvic fractures presenting to the emergency department, the most common diagnosis was closed coccyx fractures due to low-energy trauma. Case numbers decreased sharply in 2020, coinciding with the COVID-19 pandemic (p<0.001). Conclusions: In our study of patients diagnosed with pelvic fractures admitted to the emergency room, the most common pelvic fracture was the coccygeal fracture. The most common pelvic fracture occurring with low-energy traumas was the coccygeal fracture. While it is seen in all age groups in women due to their tendency towards osteoporosis, it is more concentrated in older ages. In men, it occurs at younger ages due to high-energy traumas.
