Age decreased the likelihood by 1% per year (OR= ). Having a complex fracture (P<0.0001), substance abuse disorder (P<0.0002), cirrhosis (P=0.002) or smoking (P<0.0051) all increased the likelihood of ACS. Open fractures were twice (O.R ) as likely to have ACS. Proximal and midshaft tibial fractures (P <0.0001) showed highest increases in the likelihood of ACS. The analysis identified several clinical predictors of fasciotomy. : The rate of fasciotomy treatment for ACS was 4.3% in the cohort of identified patients. The results were compared to the reported results from the literature to validate the findings. A recurrent multiple logistic regression model was used to identify factors predictive of fasciotomy. From 3,924,127 trauma cases - 203,500 patients with tibial fractures were identified and their records examined for demographic information, potential risk factors for compartment syndrome, an associated coded diagnosis of muscle necrosis, and presence of other outcomes associated with compartment syndrome. : This study looks at a very large cohort of trauma patients obtained from four recent years of the Trauma Quality Programs data from the American College of Surgeons. For a disease associated with a financial burden to society that represents billions of dollars worldwide the literature does not currently establish baseline diagnostic parameters and risk factors that may serve to predict treatment and outcomes. Most reported clinical outcomes are from smaller studies of heterogeneous patients. : There remain gaps in knowledge regarding the pathophysiology, initial diagnosis, treatment, and outcome of acute compartment syndrome (ACS).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |