Predictors of Foot Acute Compartment Syndrome: Big Data analysis

被引:6
作者
Laverdiere, Carl [1 ,3 ]
Montreuil, Julien [1 ]
Bouklouch, Yasser [2 ]
Lorange, Justin-Pierre [2 ]
Dion, Charles-Antoine [1 ]
Harvey, Edward J. [1 ]
机构
[1] McGill Univ, Hlth Ctr, Dept Orthoped Surg, Montreal, PQ, Canada
[2] McGill Univ, Fac Medinne, Montreal, PQ, Canada
[3] McGill Univ, Hlth Ctr, Montreal Gen Hosp, Dept Orthoped Surg, 1650 Cedar Ave,Room A5-175-1, Montreal, PQ H3G 1A4, Canada
关键词
acute compartment syndrome; foot compartment syndrome; big data analysis; compartment pressure monitoring; DIAGNOSIS; TRAUMA;
D O I
10.1053/j.jfas.2022.03.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Acute compartment syndrome (ACS) in the foot is a challenging diagnosis and can lead to significant disabilities to patients. The present study aims to investigate the incidence, risk factors, demographics and association in the analysis of acute compartment syndrome (ACS) of the foot. We performed a retrospective review of the Trauma Quality Programs data from the American College of Surgeons including 70,525 patients who sustained a fracture of the foot from 2015 to 2018 (4 calendar years). Fasciotomies were performed in 0.7% of all foot fractures. Open fractures, crush injuries and multiple foot fractures were the strongest predictors of fasciotomies, with odds ratios of 2.38, 2.38 and 2.33 respectively. Being a male was associated with an increased likelihood of fasciotomies of 64% (p < .0001 O.R. = [1.42-1.90]), while a dislocation in the foot increased likelihood of fasciotomies by 48% (p = .0008 O.R. = [1.18-1.86]). Trauma centre level III had higher rate of fasciotomy than Tertiary Trauma centers. Multi-ple other factors were addressed while controlling for cofounders. This big data analysis provided information not previously reported on the risk factors, demographics, and clinical association of ACS in the foot. (c) 2022 by the American College of Foot and Ankle Surgeons. All rights reserved.
引用
收藏
页码:27 / 30
页数:4
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