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 stat...
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| Veröffentlicht in: | The Journal of Trauma: Injury, Infection, and Critical Care Infection, and Critical Care, 1997-06, Vol.42 (6), p.1033-1040 |
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| container_title | The Journal of Trauma: Injury, Infection, and Critical Care |
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| creator | Cushman, James G. Feliciano, David V. Renz, Barry M. Ingram, Walter L. Ansley, Joseph D. Clark, W. Scott Rozycki, Grace S. |
| description | 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." |
| doi_str_mv | 10.1097/00005373-199706000-00008 |
| format | Article |
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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."</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199706000-00008</identifier><identifier>PMID: 9210537</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Acid-Base Equilibrium ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Body Temperature ; Child ; Female ; Humans ; Iliac Artery - injuries ; Iliac Artery - surgery ; Iliac Vein - injuries ; Iliac Vein - surgery ; Intraoperative Period ; Male ; Medical sciences ; Middle Aged ; Multiple Trauma - mortality ; Multiple Trauma - physiopathology ; Odds Ratio ; Postoperative Complications ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Survival Analysis ; Treatment Outcome ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Wounds, Gunshot - mortality ; Wounds, Gunshot - physiopathology ; Wounds, Penetrating - mortality ; Wounds, Penetrating - physiopathology</subject><ispartof>The Journal of Trauma: Injury, Infection, and Critical Care, 1997-06, Vol.42 (6), p.1033-1040</ispartof><rights>Williams & Wilkins 1997. All Rights Reserved.</rights><rights>1997 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3298-4693752e8c9d080a0926475229bb23f9675f8f212d2ab2a25ee4e6231d0ecc2e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2737713$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9210537$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cushman, James G.</creatorcontrib><creatorcontrib>Feliciano, David V.</creatorcontrib><creatorcontrib>Renz, Barry M.</creatorcontrib><creatorcontrib>Ingram, Walter L.</creatorcontrib><creatorcontrib>Ansley, Joseph D.</creatorcontrib><creatorcontrib>Clark, W. Scott</creatorcontrib><creatorcontrib>Rozycki, Grace S.</creatorcontrib><title>Iliac Vessel Injury: Operative Physiology Related to Outcome</title><title>The Journal of Trauma: Injury, Infection, and Critical Care</title><addtitle>J Trauma</addtitle><description>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."</description><subject>Acid-Base Equilibrium</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body Temperature</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Iliac Artery - injuries</subject><subject>Iliac Artery - surgery</subject><subject>Iliac Vein - injuries</subject><subject>Iliac Vein - surgery</subject><subject>Intraoperative Period</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Trauma - mortality</subject><subject>Multiple Trauma - physiopathology</subject><subject>Odds Ratio</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><subject>Wounds, Gunshot - mortality</subject><subject>Wounds, Gunshot - physiopathology</subject><subject>Wounds, Penetrating - mortality</subject><subject>Wounds, Penetrating - physiopathology</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PwzAMhiMEGtPYT0DqAXErJM7SJIgLQnxMmjSEgGuUpi4rZOtIWqb9ezo2dsMXy68f29JrQhJGLxjV8pJ2IbjkKdNa0qyr0o2kDkifCdCpUlQfkj6lAKkABcdkGGOVdwgIqUH1SE8D26zok-uxr6xL3jBG9Ml48dGG9VUyXWKwTfWNydNsHava1-_r5Bm9bbBImjqZto2r53hCjkrrIw53eUBe7-9ebh_TyfRhfHszSR0HrdJRprkUgMrpgipqqYZs1Amg8xx4qTMpSlUCgwJsDhYE4ggz4Kyg6BwgH5Dz7d5lqL9ajI2ZV9Gh93aBdRuN1Ay0ENCBagu6UMcYsDTLUM1tWBtGzcY78-ed2Xv3K6lu9HR3o83nWOwHd051_bNd30ZnfRnswlVxj4HkUjLeYaMttqp9gyF--naFwczQ-mZm_vsc_wEVzYPz</recordid><startdate>199706</startdate><enddate>199706</enddate><creator>Cushman, James G.</creator><creator>Feliciano, David V.</creator><creator>Renz, Barry M.</creator><creator>Ingram, Walter L.</creator><creator>Ansley, Joseph D.</creator><creator>Clark, W. Scott</creator><creator>Rozycki, Grace S.</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199706</creationdate><title>Iliac Vessel Injury: Operative Physiology Related to Outcome</title><author>Cushman, James G. ; Feliciano, David V. ; Renz, Barry M. ; Ingram, Walter L. ; Ansley, Joseph D. ; Clark, W. Scott ; Rozycki, Grace S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3298-4693752e8c9d080a0926475229bb23f9675f8f212d2ab2a25ee4e6231d0ecc2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Acid-Base Equilibrium</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Body Temperature</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Iliac Artery - injuries</topic><topic>Iliac Artery - surgery</topic><topic>Iliac Vein - injuries</topic><topic>Iliac Vein - surgery</topic><topic>Intraoperative Period</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Trauma - mortality</topic><topic>Multiple Trauma - physiopathology</topic><topic>Odds Ratio</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Wounds, Gunshot - mortality</topic><topic>Wounds, Gunshot - physiopathology</topic><topic>Wounds, Penetrating - mortality</topic><topic>Wounds, Penetrating - physiopathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Cushman, James G.</creatorcontrib><creatorcontrib>Feliciano, David V.</creatorcontrib><creatorcontrib>Renz, Barry M.</creatorcontrib><creatorcontrib>Ingram, Walter L.</creatorcontrib><creatorcontrib>Ansley, Joseph D.</creatorcontrib><creatorcontrib>Clark, W. Scott</creatorcontrib><creatorcontrib>Rozycki, Grace S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cushman, James G.</au><au>Feliciano, David V.</au><au>Renz, Barry M.</au><au>Ingram, Walter L.</au><au>Ansley, Joseph D.</au><au>Clark, W. Scott</au><au>Rozycki, Grace S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Iliac Vessel Injury: Operative Physiology Related to Outcome</atitle><jtitle>The Journal of Trauma: Injury, Infection, and Critical Care</jtitle><addtitle>J Trauma</addtitle><date>1997-06</date><risdate>1997</risdate><volume>42</volume><issue>6</issue><spage>1033</spage><epage>1040</epage><pages>1033-1040</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><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."</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>9210537</pmid><doi>10.1097/00005373-199706000-00008</doi><tpages>8</tpages></addata></record> |
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| subjects | Acid-Base Equilibrium Adolescent Adult Aged Biological and medical sciences Body Temperature Child Female Humans Iliac Artery - injuries Iliac Artery - surgery Iliac Vein - injuries Iliac Vein - surgery Intraoperative Period Male Medical sciences Middle Aged Multiple Trauma - mortality Multiple Trauma - physiopathology Odds Ratio Postoperative Complications Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Survival Analysis Treatment Outcome Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Wounds, Gunshot - mortality Wounds, Gunshot - physiopathology Wounds, Penetrating - mortality Wounds, Penetrating - physiopathology |
| title | Iliac Vessel Injury: Operative Physiology Related to Outcome |
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