ICU rehabilitation and outcomes in elderly pelvic ring fractures due to high-energy trauma

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  • Momii Kenta
    Emergency and Critical Care Center, Kyushu University
  • Yagi Hiroki
    Emergency and Critical Care Center, Kyushu University
  • Nezu Tomoyuki
    Department of Rehabilitation Medicine, Kyushu University
  • Ohsaki Kanji
    Department of Orthopaedic Surgery, Nakabaru Hospital
  • Man Chen
    Department of Advanced Emergency and Disaster Medicine, Graduate School of Medical Sciences, Kyushu University
  • Tajimi Takahiro
    Emergency and Critical Care Center, Kyushu University
  • Iyonaga Takeshi
    Emergency and Critical Care Center, Kyushu University
  • Nishihara Masaaki
    Emergency and Critical Care Center, Kyushu University
  • Shono Yuji
    Emergency and Critical Care Center, Kyushu University
  • Maki Jun
    Emergency and Critical Care Center, Kyushu University
  • Akahoshi Tomohiko
    Emergency and Critical Care Center, Kyushu University Department of Advanced Emergency and Disaster Medicine, Graduate School of Medical Sciences, Kyushu University
  • Nakashima Yasuharu
    Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University

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<p>Pelvic fractures, accounting for 2–8% of skeletal injuries, present a significant burden in patients with trauma. High-energy incidents often result in severe pelvic trauma accompanied by comorbidities leading to high mortality rates. Managing these complications adds complexity to the treatment process, particularly in older patients who experience longer recovery times and higher injury severity. To improve the long-term quality of life, a multidisciplinary approach is essential. However, rehabilitation feasibility is influenced by the patient’s condition and pelvic fixation stability, necessitating individualized treatment. This study investigated the rehabilitation status and long-term outcomes of older patients with severe polytrauma and pelvic ring fractures caused by high-energy trauma. The results revealed that 79.2% of the patients achieved full weight-bearing, with a median time of 41.5 days, and eventually 58.3% were discharged home. Complications were observed in 83.3% of the patients, with various challenges affecting successful home discharge. Multidisciplinary rehabilitation programs are promising for optimizing outcomes and facilitating recovery in vulnerable patient populations. Still, larger, more focused studies are needed to gain more comprehensive insights into the treatment and recovery of older patients with pelvic ring fractures and severe polytrauma. Understanding these factors is crucial for guiding clinical decision-making and improving long-term outcomes in this population.</p>

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