High-Grade Limbs Open Fractures: Time to Find Milestones in the Emergency Setting
Abstract
:1. Introduction
2. Materials and Methods
Statistical Methods
3. Results
4. Discussion and Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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A Group (26) | BC Group (66) | AMP Group (14) | Total (106) | |||||
---|---|---|---|---|---|---|---|---|
Variable | Number/Median | %/IQR | Number/Median | %/IQR | Number/Median | %/IQR | Number/Median | %/IQR |
Age | 37 | 27 | 46 | 23 | 43 | 24 | 43 | 23 |
Mechanism of Trauma | ||||||||
Road Accident | 16 | 61.5 | 38 | 57.6 | 8 | 57.1 | 62 | 58.5 |
Fall | 6 | 23.1 | 9 | 13.6 | 0 | 0 | 15 | 14.2 |
Pedestrian | 1 | 3.8 | 8 | 12.1 | 5 | 35.7 | 14 | 13.2 |
Crush | 0 | 0 | 6 | 9.1 | 0 | 0 | 6 | 5.7 |
Penetrating | 2 | 7.7 | 2 | 3 | 1 | 7.1 | 5 | 4.7 |
Cyclist | 1 | 3.8 | 3 | 4.5 | 0 | 0 | 4 | 3.8 |
Shock Class | ||||||||
I | 15 | 57.7 | 30 | 45.5 | 3 | 21.4 | 48 | 45.3 |
II | 6 | 23.1 | 16 | 24.2 | 3 | 21.4 | 25 | 23.6 |
III | 3 | 11.5 | 10 | 15.2 | 5 | 35.7 | 18 | 17 |
IV | 2 | 7.7 | 9 | 13.6 | 3 | 21.4 | 14 | 13.2 |
SBP in ED (mean) | 120.36 | 25.67 | 118.81 | 35.4 | 105.31 | 38.88 | 117.44 | 33.73 |
HR in ED | 92 | 23 | 91 | 35 | 115 | 39 | 92 | 33 |
GCS | 15 | 0 | 15 | 1 | 15 | 11 | 15 | 1 |
LOS | 24 | 23 | 40 | 33 | 37 | 39 | 36 | 32 |
ISS | 14 | 18 | 13 | 19 | 19 | 27 | 14 | 19 |
Outcome | ||||||||
Survived | 24 | 92.3 | 59 | 89.4 | 10 | 71.4 | 93 | 87.7 |
Dead | 2 | 7.7 | 7 | 10.6 | 4 | 28.6 | 13 | 12.3 |
BC-SALV (44) | BC-AMPT0 (11) | BC-AMPT1 (11) | |||||
---|---|---|---|---|---|---|---|
Variable | Number/Median | %/IQR | Number/Median | %/IQR | Number/Median | %/IQR | p |
SBP (mean) | 123.72 | 34.52 | 105.11 | 35.29 | 93.44 | 27.16 | 0.031 * |
HR | 91 | 26 | 100 | 27 | 100 | 27 | n.s. |
SC ≥ 3 | 12 | 25 | 4 | 44.4 | 4 | 44.4 | n.s. |
BE | −3.95 | 5.28 | −3.3 | 4.3 | −4.6 | 5.4 | n.s. |
Lac | 3.15 | 2.43 | 2.85 | 2.55 | 2.78 | 1.9 | n.s. |
ICU-LOS (range) | 3 | 9 | 3 | 9 | 14 | 26 | 0.04 * |
H-LOS (range) | 47.5 | 23 | 55 | 42 | 82 | 56 | 0.005 * |
Head AIS ≥ 3 | 7 | 14.6 | 0 | 0 | 0 | 0 | n.s. |
Chest AIS ≥ 3 | 14 | 29.2 | 2 | 22.2 | 5 | 55.6 | n.s. |
Abdomen AIS ≥ 3 | 4 | 8.3 | 0 | 0 | 2 | 22.2 | n.s. |
G-A IIIC | 10 | 22.7 | 8 | 72.7 | 8 | 72.7 | <0.001 * |
MESS | 6 | 2 | 9 | 2 | 7 | 2 | <0.001 * |
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Altomare, M.; Granieri, S.; Cioffi, S.P.B.; Spota, A.; Basilicò, S.A.; Chiara, O.; Cimbanassi, S. High-Grade Limbs Open Fractures: Time to Find Milestones in the Emergency Setting. Life 2021, 11, 1226. https://doi.org/10.3390/life11111226
Altomare M, Granieri S, Cioffi SPB, Spota A, Basilicò SA, Chiara O, Cimbanassi S. High-Grade Limbs Open Fractures: Time to Find Milestones in the Emergency Setting. Life. 2021; 11(11):1226. https://doi.org/10.3390/life11111226
Chicago/Turabian StyleAltomare, Michele, Stefano Granieri, Stefano Piero Bernardo Cioffi, Andrea Spota, Silvia Azisa Basilicò, Osvaldo Chiara, and Stefania Cimbanassi. 2021. "High-Grade Limbs Open Fractures: Time to Find Milestones in the Emergency Setting" Life 11, no. 11: 1226. https://doi.org/10.3390/life11111226