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Iliac Vessel Injury

1997; Lippincott Williams & Wilkins; Volume: 42; Issue: 6 Linguagem: Inglês

10.1097/00005373-199706000-00008

1529-8809

James G. Cushman, David V. Feliciano, Barry M. Renz, Walter L. Ingram, Joseph D. Ansley, W. Scott Clark, Grace S. Rozycki,

Cardiac, Anesthesia and Surgical Outcomes

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.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.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.(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."