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Evaluation of obesity and age as a predictive factor of lower extremity compartment syndrome: A national trauma data bank analysis.

Authors :
Light JJ
Davis JM
Dunahoe J
Stwalley D
Miller AN
Cannada LK
Source :
American journal of surgery [Am J Surg] 2024 Aug; Vol. 234, pp. 129-135. Date of Electronic Publication: 2024 Apr 16.
Publication Year :
2024

Abstract

Background: Risk factors of acute compartment syndrome (ACS) of the leg include tibial fractures followed by soft tissue injuries.<br />Methods: Data collected from the National Trauma Data Bank (NTDB) between 2017 and 2019 were analyzed for adult patients with lower extremity fractures, including proximal tibia, tibial shaft, and distal tibia. The primary outcome was a diagnosis of ACS.<br />Results: There were 1052/220,868 patients with lower extremity fractures with a concomitant diagnosis of compartment syndrome. Our study has shown that patients with a BMI of ≥30 had a lower incidence of compartment syndrome when compared with patients with a BMI of 25-29 and controlled for fracture type. Increased age ≥55 in males, and females between 65 and 84, also demonstrated a decreased risk. Proximal tibial fractures (n ​= ​54,696) were significantly associated with ACS compared to midshaft (n ​= ​42,153) and distal (n ​= ​100,432), p ​< ​0.0001.<br />Conclusion: We found that being overweight decreases risk for development of compartment syndrome in patients with lower extremity fractures. This big data study aids in establishing risk factors for development of ACS in adult trauma patients.<br />Competing Interests: Declaration of competing interest The authors have no known conflicts of interest associated with this publication to disclose.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1879-1883
Volume :
234
Database :
MEDLINE
Journal :
American journal of surgery
Publication Type :
Academic Journal
Accession number :
38653707
Full Text :
https://doi.org/10.1016/j.amjsurg.2024.04.013