EXTERNAL FIXATION OF PELVIC RING INJURIES AT EMERGENCY MEDICAL CARE STAGE
Introduction. According to the data of biomechanical and retrospective clinical studies, it is clear that the degree of evidence of available publications does not allow us to fully judge the clinical effectiveness of pelvic immobilization. In addition, we found no data on changes in the level of pain during pelvic immobilization. Purpose. Creation of an original device and its clinical justification in a comparative aspect. Materials and methods. This work was carried out within the framework of grant funding of the Ministry of education and science of the Republic of Kazakhstan. The theme of the project: "Development of a system for orthosurgical rehabilitation of pelvic bone injuries in road accidents in the Republic of Kazakhstan". The study included 44 patients admitted to three level 1 trauma centers of the Republic of Kazakhstan who met the criteria for inclusion and exclusion. Design: a pilot randomized clinical trial. The main group consists of all patients with pelvic injuries using the proposed utility model. Control group - all patients with injury of the pelvis with the use of immobilization wıth sheets. Results. 52.3 % of the victims (N=23) were immobilized by the utility model we developed, 47.7 % (N=21) were immobilized by a sheet. The duration of the immobilization method averaged 85.18 min ±37.77 min. In 77.3% of cases (N=34), pelvic bone fractures occurred as part of multiple trauma. The study did not identify any cases with complications related to immobilization. Patients in both study groups were comparable in age, gender, severity of injuries, and severity of condition. Conclusions. According to the results of our study, we have seen a tendency to lengthen the length of hospitalization, especially in the intensive care unit in the group with sheet immobilization. In addition, the volume of infusion antishock therapy between groups had a certain tendency to lower volumes in the group using the utility model developed by us (p=0.393). The description of changes in the patient's pain severity 30 and 60 minutes after immobilization was "much smaller" mainly in the group using the proposed utility model.
Elnara I. Efendiyeva 1, https://orcid.org/0000-0003-4506-1619 Yersin T. Zhunussov 1, https://orcid.org/0000-0002-1182-5257 Assylzhan M. Messova 1, https://orcid.org/0000-0001-5373-0523 Ruslan S. Botayev 2, https://orcid.org/0000-0003-1556-4397 Aidos S. Tlemissov 1, https://orcid.org/0000-0002-4239-6627 Ayan O. Myssayev 3, https://orcid.org/0000-0001-7332-4856 1 NCJSC «Semey Medical University», Semey city, Republic of Kazakhstan; 2 State-owned enterprise with the right of economic management ‘Nur-Sultan city Hospital № 1, Nur-Sultan city, Republic of Kazakhstan; 3 Department of science and human resources of the Ministry of health of the Republic of Kazakhstan, Nur-Sultan city, Republic of Kazakhstan.
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Efendiyeva E.I., Zhunussov Ye.T., Messova A.M., Botayev R.S., Tlemissov A.S, Myssayev A.O. External fixation of pelvic ring injuries at emergency medical care stage // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 5, pp. 84-91. doi 10.34689/SH.2020.22.5.008

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