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Titolo:
ILIAC VESSEL INJURY - OPERATIVE PHYSIOLOGY RELATED TO OUTCOME
Autore:
CUSHMAN JG; FELICIANO DV; RENZ BM; INGRAM WL; ANSLEY JD; CLARK WS; ROZYCKI GS;
Indirizzi:
LEHIGH VALLEY HOSP CTR,1210 S CEDAR CREST BLVD,SUITE 3100 ALLENTOWN PA 18103 EMORY UNIV,DEPT BIOSTAT,ROLLINS SCH PUBL HLTH ATLANTA GA 30322 GRADY MEM HOSP,EMORY UNIV SCH MED,DEPT SURG ATLANTA GA 00000 EMORY UNIV SCH MED GRADY MEM HOSP,DEPT SURG ATLANTA GA 00000
Titolo Testata:
The journal of trauma, injury, infection, and critical care
fascicolo: 6, volume: 42, anno: 1997,
pagine: 1033 - 1040
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRAUMA PATIENTS; PLANNED REOPERATION; VASCULAR INJURIES; ABDOMINAL INJURY; VENOUS INJURIES; BASE DEFICIT; MANAGEMENT; HYPOTHERMIA; EXPERIENCE; SURVIVAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
50
Recensione:
Indirizzi per estratti:
Citazione:
J.G. Cushman et al., "ILIAC VESSEL INJURY - OPERATIVE PHYSIOLOGY RELATED TO OUTCOME", The journal of trauma, injury, infection, and critical care, 42(6), 1997, pp. 1033-1040

Abstract

Background: Fifty-three patients treated at a level I trauma center with iliac vessel injury were studied to determine if body temperature and acid-base status in the operating room predicts outcome. Methods: Records were reviewed for demographics, mechanism of injury, body temperature, acid-base status, operative management, and outcome. Statistical methods included Student's t test, odds ratio determination, and chi-square analysis to determine statistical significance. Results: Fifty-three patients (47 male, 6 female) sustained 92 iliac vascular injuries (36 arterial, 56 venous). Mortality was 34%, with 72% of deaths due to shock within 24 hours. Physiologic parameters differed significantly between survivors and nonsurvivors. Odds ratio identified six conditions; the number present predicted outcome. Conclusions: (1) There are significant differences between initial and final operating room temperature and acid-base status in survivors versus nonsurvivors with iliac vessel injury. Conditions for adds ratio can be calculated and correlated with outcome, (2) A patient with two or more conditions should be considered for an abbreviated laparotomy to allow for reversal of ''physiologic failure.''

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Documento generato il 10/07/20 alle ore 02:31:55