Iliac Vessel Injury: Operative Physiology Related to Outcome.
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."
Published In/Presented At
Cushman, J. G., Feliciano, D. V., Renz, B. M., Ingram, W. L., Ansley, J. D., Clark, W. S., & Rozycki, G. S. (1997). Iliac vessel injury: operative physiology related to outcome. The Journal Of Trauma, 42(6), 1033-1040.
Medicine and Health Sciences | Other Medical Specialties | Surgery | Trauma
Department of Surgery, Department of Surgery Faculty