Evaluation of Experience with Lower Extremity Arterial Injuries at an Urban Trauma Center
| Autor: | Christopher F. Tanga, John Galante, Michael Lieber, Randall W. Franz, Joshua H. Hill |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Mortality rate medicine.medical_treatment Incidence (epidemiology) Trauma center 030208 emergency & critical care medicine 030204 cardiovascular system & hematology Fasciotomy 03 medical and health sciences 0302 clinical medicine Amputation Concomitant Emergency medicine medicine Injury Severity Score Cardiology and Cardiovascular Medicine Limb loss business |
| Zdroj: | International Journal of Angiology. 27:029-034 |
| ISSN: | 1615-5939 1061-1711 |
| DOI: | 10.1055/s-0037-1618570 |
| Popis: | Lower extremity arterial injuries (LEAIs) can be complicated injuries resulting in limb loss and death. Patients with LEAI often have multiple injuries increasing the risk for morbidity and mortality. We sought to evaluate the incidence and management of LEAI and to define associations between injuries and outcomes. We performed a retrospective review of LEAI at an urban level-1 trauma center from April 2005 to April 2015. Chi-square tests were used to compare independent groups with respect to mortality and amputation. Means were compared between independent groups using two-sample t-tests. From April 2005 to April 2015, 208 arterial injuries occurred in 163 patients. The majority (80.4%) suffered concomitant lower extremity injuries with 35.6% suffering systemic injuries. Surgical intervention was required for 72.1% of injuries. Amputation rate was 14.7%. Mortality rate was 8.0%. Data from 2010 to 2015 were more specifically analyzed. Injury severity score (ISS) was higher with fatalities (37 ± 13.16 vs. 11.8 ± 8.51, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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