Evaluation of obesity and age as a predictive factor of lower extremity compartment syndrome: A national trauma data bank analysis.
Acute care
Acute compartment syndrome
Body mass index
Gender
Orthopaedic trauma
Risk factors
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
16 Apr 2024
16 Apr 2024
Historique:
received:
04
02
2024
revised:
02
04
2024
accepted:
10
04
2024
medline:
24
4
2024
pubmed:
24
4
2024
entrez:
23
4
2024
Statut:
aheadofprint
Résumé
Risk factors of acute compartment syndrome (ACS) of the leg include tibial fractures followed by soft tissue injuries. Data collected from the National Trauma Data Bank (NTDB) between 2017 and 2019 were analyzed for adult patients with lower extremity fractures, including proximal tibia, tibial shaft, and distal tibia. The primary outcome was a diagnosis of ACS. There were 1052/220,868 patients with lower extremity fractures with a concomitant diagnosis of compartment syndrome. Our study has shown that patients with a BMI of ≥30 had a lower incidence of compartment syndrome when compared with patients with a BMI of 25-29 and controlled for fracture type. Increased age ≥55 in males, and females between 65 and 84, also demonstrated a decreased risk. Proximal tibial fractures (n = 54,696) were significantly associated with ACS compared to midshaft (n = 42,153) and distal (n = 100,432), p < 0.0001. We found that being overweight decreases risk for development of compartment syndrome in patients with lower extremity fractures. This big data study aids in establishing risk factors for development of ACS in adult trauma patients.
Sections du résumé
BACKGROUND
BACKGROUND
Risk factors of acute compartment syndrome (ACS) of the leg include tibial fractures followed by soft tissue injuries.
METHODS
METHODS
Data collected from the National Trauma Data Bank (NTDB) between 2017 and 2019 were analyzed for adult patients with lower extremity fractures, including proximal tibia, tibial shaft, and distal tibia. The primary outcome was a diagnosis of ACS.
RESULTS
RESULTS
There were 1052/220,868 patients with lower extremity fractures with a concomitant diagnosis of compartment syndrome. Our study has shown that patients with a BMI of ≥30 had a lower incidence of compartment syndrome when compared with patients with a BMI of 25-29 and controlled for fracture type. Increased age ≥55 in males, and females between 65 and 84, also demonstrated a decreased risk. Proximal tibial fractures (n = 54,696) were significantly associated with ACS compared to midshaft (n = 42,153) and distal (n = 100,432), p < 0.0001.
CONCLUSION
CONCLUSIONS
We found that being overweight decreases risk for development of compartment syndrome in patients with lower extremity fractures. This big data study aids in establishing risk factors for development of ACS in adult trauma patients.
Identifiants
pubmed: 38653707
pii: S0002-9610(24)00230-7
doi: 10.1016/j.amjsurg.2024.04.013
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors have no known conflicts of interest associated with this publication to disclose. The authors all approved this manuscript for publication after editing and careful re-review. The order of authors listed has been approved by the participating authors.