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Table 4 Factors associated with pre-hospital hemodynamic instability

From: Incidence rate and topography of intra-pelvic arterial lesions associated with high-energy blunt pelvic ring injuries: a retrospective cohort study

  Univariate analysis Multivariable analysisa
Variables OR 95% CI p-value OR 95% CI p-value
IPAL (ref. no arterial lesion) 6.00 1.93–18.64 0.002 4.48 1.03–19.54 0.046
Female gender (ref. male) 1.27 0.56–2.88 0.569 1.67 0.60–4.61 0.325
Age in categories (ref. 16–39 years)    0.868    0.969
 40–49 0.59 0.17–2.04 0.406 0.81 0.19–3.45 0.780
 50–69 0.85 0.32–2.30 0.754 0.95 0.29–3.16 0.939
  ≥ 70 years 0.97 0.27–3.52 0.963 0.69 0.14–3.39 0.650
ISS, continuous 1.13 1.08–1.19 < 0.001
ISS ≥25 (ref. < 25) 14.4 4.62–44.85 < 0.001 12.95 3.90–42.95 < 0.001
AO/OTA classification (ref. A)    0.125
 B 2.30 0.62–8.51 0.214    
 C 4.67 1.04–21.01 0.045    
Young and Burgess classification (ref. NC)    0.267    0.948
 LC 2.14 0.57–8.09 0.263 1.49 0.33–6.67 0.599
 APC 2.42 0.46–12.85 0.298 1.76 0.20–15.59 0.611
 VS & CM 4.67 0.99–22.01 0.052 1.60 0.26–9.87 0.612
  1. After adjustment for sex and age, the presence of an IPAL was significantly associated with greater odds of pre-hospital hemodynamic instability independently of the types of PRI, as was ISS ≥25
  2. OR: odds ratio; 95% CI: 95% confidence interval; IPAL: intra-pelvic arterial lesion; ISS: Injury Severity Score; NC: not classifiable; LC: lateral compression; APC: anteroposterior compression; VS: vertical shear; CM: combined mechanism
  3. a Hosmer-Lemeshow test, p = 0.118. The variance inflation factors (VIF) are all below 1.5, suggesting no collinearity