Iliac vessel injury: Operative physiology related to outcome

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

Research output: Contribution to journalArticle

Abstract

Background: Fifty-three patients treated at a level I trauma center with lilac vessel injury were studied to determine if body temperature and acid- base status in the operating room predicts outcome. Methods: 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. Results: Fifty-three patients (47 male, 6 female) sustained 92 lilac 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. Conclusions: (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'.

Original languageEnglish (US)
Pages (from-to)1033-1040
Number of pages8
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume42
Issue number6
DOIs
StatePublished - Jun 1 1997
Externally publishedYes

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Odds Ratio
Operating Rooms
Body Temperature
Acids
Survivors
Wounds and Injuries
Trauma Centers
Vascular System Injuries
Laparotomy
Shock
Demography
Students
Temperature
Mortality

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Cushman, J. G., Feliciano, D. V., Renz, B. M., Ingram, W. L., Ansley, J. D., Scott Clark, W., & Rozycki, G. (1997). Iliac vessel injury: Operative physiology related to outcome. Journal of Trauma - Injury, Infection and Critical Care, 42(6), 1033-1040. https://doi.org/10.1097/00005373-199706000-00008

Iliac vessel injury : Operative physiology related to outcome. / Cushman, James G.; Feliciano, David V.; Renz, Barry M.; Ingram, Walter L.; Ansley, Joseph D.; Scott Clark, W.; Rozycki, Grace.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 42, No. 6, 01.06.1997, p. 1033-1040.

Research output: Contribution to journalArticle

Cushman, JG, Feliciano, DV, Renz, BM, Ingram, WL, Ansley, JD, Scott Clark, W & Rozycki, G 1997, 'Iliac vessel injury: Operative physiology related to outcome', Journal of Trauma - Injury, Infection and Critical Care, vol. 42, no. 6, pp. 1033-1040. https://doi.org/10.1097/00005373-199706000-00008
Cushman JG, Feliciano DV, Renz BM, Ingram WL, Ansley JD, Scott Clark W et al. Iliac vessel injury: Operative physiology related to outcome. Journal of Trauma - Injury, Infection and Critical Care. 1997 Jun 1;42(6):1033-1040. https://doi.org/10.1097/00005373-199706000-00008
Cushman, James G. ; Feliciano, David V. ; Renz, Barry M. ; Ingram, Walter L. ; Ansley, Joseph D. ; Scott Clark, W. ; Rozycki, Grace. / Iliac vessel injury : Operative physiology related to outcome. In: Journal of Trauma - Injury, Infection and Critical Care. 1997 ; Vol. 42, No. 6. pp. 1033-1040.
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