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Evaluation of obesity and age as a predictive factor of lower extremity compartment syndrome: A national trauma data bank analysis.
- 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.)
- Subjects :
- Humans
Male
Female
Middle Aged
Aged
Adult
Risk Factors
Age Factors
Aged, 80 and over
United States epidemiology
Incidence
Lower Extremity injuries
Retrospective Studies
Compartment Syndromes epidemiology
Compartment Syndromes etiology
Compartment Syndromes diagnosis
Obesity complications
Obesity epidemiology
Databases, Factual
Tibial Fractures epidemiology
Tibial Fractures complications
Subjects
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