Document Detail


A prognostic model for the risk of development of upper extremity compartment syndrome in the setting of brachial artery injury.
MedLine Citation:
PMID:  19131714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A potentially devastating sequela of brachial artery injury in the setting of upper extremity trauma is the development of compartment syndrome (CS). We performed a retrospective review of 139 trauma patients with brachial artery injury from 1985-2001. Objective characteristics of each case were extracted and analyzed using multivariate logistic regression. Three variables were found to be significant in the final model: estimated intraoperative blood loss as a continuous variable, and presence of a multiple arterial injury and presence of an open fracture as categorical variables. Odds ratio were 1.12, 5.79, and 2.68, respectively. We used these variables to create a summative score for the development of CS with weights assigned proportional to the adjusted odds ratio. Odds of having CS for subjects in group 2 and group 3 are 5.3 and 15.1 times the odds for subjects in group 1, respectively. Applying multivariate regression analysis to the largest series of brachial artery injuries to date, we have developed a predictive scoring model of CS.
Authors:
John Y S Kim; Clark F Schierle; Vairavan S Subramanian; Michael V Birman; Oliver Kloeters; Antonio J V Forte; C Bob Basu; Matthew J Wall; Michael Epstein
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  62     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-7     Citation Subset:  IM    
Affiliation:
Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA. jokim@nmh.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Arm / blood supply*
Brachial Artery / injuries*
Child
Compartment Syndromes / epidemiology*,  etiology*
Female
Humans
Male
Middle Aged
Models, Statistical*
Prognosis
Retrospective Studies
Risk Factors
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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