TY - JOUR
T1 - Iliac vessel injury
T2 - Operative physiology related to outcome
AU - Cushman, James G.
AU - Feliciano, David V.
AU - Renz, Barry M.
AU - Ingram, Walter L.
AU - Ansley, Joseph D.
AU - Scott Clark, W.
AU - Rozycki, Grace S.
PY - 1997/6
Y1 - 1997/6
N2 - Background: Fifty-three patients treated at a level I trauma center with lilac 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 lilac 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'.
AB - Background: Fifty-three patients treated at a level I trauma center with lilac 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 lilac 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'.
UR - http://www.scopus.com/inward/record.url?scp=0030754211&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030754211&partnerID=8YFLogxK
U2 - 10.1097/00005373-199706000-00008
DO - 10.1097/00005373-199706000-00008
M3 - Article
C2 - 9210537
AN - SCOPUS:0030754211
SN - 0022-5282
VL - 42
SP - 1033
EP - 1040
JO - Journal of Trauma - Injury, Infection and Critical Care
JF - Journal of Trauma - Injury, Infection and Critical Care
IS - 6
ER -