Alethea Jerebine, Mohammadreza Mohebbi, Natalie Lander, Emma L J Eyre, Michael J Duncan, Lisa M Barnett
Playing it safe: The relationship between parent attitudes to risk and injury, and children's adventurous play and physical activity
Psychology of sport and exercise
purpose study characterize relationship novel radiographic measurement initial ap pelvis radiograph termed bladder shift bs intraoperative blood loss ibl acetabular surgical fixation adult patients receiving unilateral acetabular fixation level 1 academic trauma 200818 reviewed ap pelvis radiographs reviewed visible bladder outlines measured determine percentage deformation toward midline hemoglobin hematocrit data used calculate quantitative blood loss pre post operative blood counts data analysis 371 patients unilateral traumatic acetabular fractures requiring fixation reviewed 99 visible bladder outlines complete blood count transfusion data 20082018 66 associated patterns median bladder shift bs 133 every 10 bladder shift associated 123 ml greater ibl patients full bladder shift midline sustained median 15l ibl interquartile range iqr 08 16 associated patterns threefold greater median bs associated 165 154 459 vs elementary 56 11 154 p 005 received intraoperative prbc twice frequently 57 vs 24 p 001 radiographic bladder shift easily available visual marker patients sustaining acetabular fractures may predict intraoperative hemorrhage need transfusions