الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
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Abstract
Introduction: Trauma is a recurrent and significant cause of morbidity and mortality over time and across continents despite efforts to control its impact. Pelvic fractures are relatively uncommon with a reported incidence of only 2–8% of all fractures, but the risk of hemorrhage makes pelvic fractures the most serious skeletal injury resulting in substantial mortality that ranges from 5% to 50% not only due to pelvic ring fracture but also due to associated injuries involving the abdomen, chest, and central nervous system. The aim of work: The aim of this study was to determine epidemiology of pelvic fracture in polytrauma patients admitted to Mansoura emergency hospital and its value as early predictor of morbidity and mortality and to find other predictors of early mortality in polytrauma patients. Research Plan: This study was conducted over more than 300 polytrauma patients admitted to Mansoura Emergency Hospital over one year and comparison between patients with and without pelvic fractures. Results: Presence of pelvic fracture has a great prognostic value in early morbidity and mortality due to its direct effect or by associated injuries in chest, abdomen, or central nervous system as it increases rate of mortality from 4.7% to 23.9% and ICU admission from 17.4% to 32.4% and operation from 5.1% to 57.7% in comparison to cases without pelvic fracture. We also found that systolic blood pressure > 90 mmhg, GCS > 15 (especially > 13), low hemoglobin, road traffic accident , and type C pelvic fracture were associated with increase mortality and morbidity. Conclusion:. Based on our results, we conclude the following: * Trauma is a recurrent and significant cause of morbidity and mortality over time and across continents. * pelvic fracture has a great prognostic value in early morbidity and mortality due to its direct effect or by associated injuries in chest, abdomen, or central nervous system. * pelvic fracture has a great prognostic value in early morbidity and mortality due to its direct effect or by associated injuries in chest, abdomen, or central nervous system.