Pelvic fracture-specific scales versus general patient reported scales for pelvic fracture outcomes: a systematic review

ANZ J Surg. 2016 Sep;86(9):687-90. doi: 10.1111/ans.13651. Epub 2016 Jun 9.

Abstract

Background: Multiple scoring systems are used in the assessment of post-injury outcomes in pelvic fracture patients. Although commonly used, there is scarce evidence as to their validity.

Methods: We performed a systematic review of the current literature to compare a well validated generic outcome tool (Short Form-36 (SF-36)) and three commonly used pelvic-specific outcome tools, the Iowa Pelvic Score, Majeed Pelvic Score and Orlando Pelvic Score.

Results: Eleven papers were found that used both the SF-36 and one or more of the pelvic-specific outcome tools. The data demonstrate great variability in both the method of application and form of reporting.

Conclusion: The pelvic-specific tools produce similar results to the SF-36 and are potentially more sensitive in examining specific areas related to pelvic injuries and easier to perform and calculate than the SF-36.

Keywords: orthopaedic surgery; pelvic scoring systems; trauma.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Fractures, Bone / diagnosis*
  • Humans
  • Pelvic Bones / diagnostic imaging
  • Pelvic Bones / injuries*
  • Radiography
  • Surveys and Questionnaires*
  • Trauma Severity Indices