The Futility of Predictive Scoring of Mangled Lower Extremities.
Publication/Presentation Date
1-1-1993
Abstract
Fifty-eight lower limb salvage attempts over a 10-year period were retrospectively scored using the Mangled Extremity Syndrome Index (MESI), Mangled Extremity Severity Score (MESS), Predictive Salvage Index (PSI), and the Limb Salvage Index (LSI). Primary amputations were excluded. Limb salvage failure was defined at four levels, including functional failure 2 years postinjury. Cross-validational sensitivity and specificity analyses revealed no predictive utility in any of the four indices. Although most failed limb salvage attempts could be identified early in the course of management, a significant percentage of our patients suffered prolonged reconstructive efforts. We conclude that efforts must be directed at more precisely determining the factors that aid in the decisions to terminate futile salvage efforts.
Volume
34
Issue
1
First Page
99
Last Page
104
ISSN
0022-5282
Published In/Presented At
Bonanni, F., Rhodes, M., & Lucke, J. F. (1993). The futility of predictive scoring of mangled lower extremities. The Journal Of Trauma, 34(1), 99-104.
Disciplines
Medicine and Health Sciences | Other Medical Specialties | Surgery | Trauma
PubMedID
8437205
Department(s)
Department of Surgery
Document Type
Article