Iliac Vessel Injury: Operative Physiology Related to Outcome.

Publication/Presentation Date

6-1-1997

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 odds 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."

Volume

42

Issue

6

First Page

1033

Last Page

1040

ISSN

0022-5282

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Surgery | Trauma

PubMedID

9210537

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article

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