Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma center
Abstract Background Despite significant improvements in outcomes, traumatic arterial limb injuries remain a significant cause of limb loss and mortality. Objectives This study sought to identify predictors of mortality and major amputation in patients undergoing revascularization after femoropopli...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2022-09-01
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| Series: | Jornal Vascular Brasileiro |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100314&tlng=en |
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| author | Gustavo Henrique Dumont Kleinsorge Pedro Gustavo Rezende Teixeira Claudia Caroline Barbosa Pfannes Rodrigo Di Vita do Lago Simone de Campos Vieira Abib |
| author_facet | Gustavo Henrique Dumont Kleinsorge Pedro Gustavo Rezende Teixeira Claudia Caroline Barbosa Pfannes Rodrigo Di Vita do Lago Simone de Campos Vieira Abib |
| author_sort | Gustavo Henrique Dumont Kleinsorge |
| collection | DOAJ |
| description | Abstract Background Despite significant improvements in outcomes, traumatic arterial limb injuries remain a significant cause of limb loss and mortality. Objectives This study sought to identify predictors of mortality and major amputation in patients undergoing revascularization after femoropopliteal arterial trauma. Methods This was a retrospective review of a trauma registry from an urban trauma center in Brazil. All patients admitted to our hospital with a femoropopliteal arterial injury from November 2012 to December 2017 who underwent vascular reconstruction were included. Univariate analyses and logistic regression analyses were conducted to identify factors independently associated with the primary outcome of amputation and the secondary outcome of mortality. Results Ninety-six patients were included. Eleven patients (11.5%) had an amputation and 14 (14.6%) died. In the logistic regression model for amputation, patients with ischemia duration greater than 6 hours were approximately 10 times more likely to undergo an amputation compared to those with ischemia duration less than or equal to 6 hours (adjusted odds ratio (AOR) [95% confidence interval (CI)]: 9.6 [1.2-79.9]). The logistic regression model for mortality revealed that patients with ischemia duration greater than 6 hours were approximately 6 times more likely to die compared to those with ischemia duration less than or equal to 6 hours (AOR [95% CI]: 5.6 [1.3 to 24.7). Conclusions Ischemia duration remains the most important factor independently associated with limb loss and mortality for patients undergoing femoropopliteal arterial revascularization after traumatic injuries. Physiological status on admission and trauma scores are also important. |
| first_indexed | 2024-04-11T10:00:03Z |
| format | Article |
| id | doaj.art-e50eb7ae5f624fd2b827840e04a48eca |
| institution | Directory Open Access Journal |
| issn | 1677-7301 |
| language | English |
| last_indexed | 2024-04-11T10:00:03Z |
| publishDate | 2022-09-01 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
| record_format | Article |
| series | Jornal Vascular Brasileiro |
| spelling | doaj.art-e50eb7ae5f624fd2b827840e04a48eca2022-12-22T04:30:27ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-73012022-09-012110.1590/1677-5449.202200202Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma centerGustavo Henrique Dumont Kleinsorgehttps://orcid.org/0000-0003-1303-1554Pedro Gustavo Rezende TeixeiraClaudia Caroline Barbosa PfannesRodrigo Di Vita do LagoSimone de Campos Vieira AbibAbstract Background Despite significant improvements in outcomes, traumatic arterial limb injuries remain a significant cause of limb loss and mortality. Objectives This study sought to identify predictors of mortality and major amputation in patients undergoing revascularization after femoropopliteal arterial trauma. Methods This was a retrospective review of a trauma registry from an urban trauma center in Brazil. All patients admitted to our hospital with a femoropopliteal arterial injury from November 2012 to December 2017 who underwent vascular reconstruction were included. Univariate analyses and logistic regression analyses were conducted to identify factors independently associated with the primary outcome of amputation and the secondary outcome of mortality. Results Ninety-six patients were included. Eleven patients (11.5%) had an amputation and 14 (14.6%) died. In the logistic regression model for amputation, patients with ischemia duration greater than 6 hours were approximately 10 times more likely to undergo an amputation compared to those with ischemia duration less than or equal to 6 hours (adjusted odds ratio (AOR) [95% confidence interval (CI)]: 9.6 [1.2-79.9]). The logistic regression model for mortality revealed that patients with ischemia duration greater than 6 hours were approximately 6 times more likely to die compared to those with ischemia duration less than or equal to 6 hours (AOR [95% CI]: 5.6 [1.3 to 24.7). Conclusions Ischemia duration remains the most important factor independently associated with limb loss and mortality for patients undergoing femoropopliteal arterial revascularization after traumatic injuries. Physiological status on admission and trauma scores are also important.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100314&tlng=enfemoral arterypopliteal arteryinjurytrauma |
| spellingShingle | Gustavo Henrique Dumont Kleinsorge Pedro Gustavo Rezende Teixeira Claudia Caroline Barbosa Pfannes Rodrigo Di Vita do Lago Simone de Campos Vieira Abib Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma center Jornal Vascular Brasileiro femoral artery popliteal artery injury trauma |
| title | Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma center |
| title_full | Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma center |
| title_fullStr | Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma center |
| title_full_unstemmed | Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma center |
| title_short | Prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a Brazilian trauma center |
| title_sort | prognostic factors in treatment of traumatic femoropopliteal arterial injuries at a brazilian trauma center |
| topic | femoral artery popliteal artery injury trauma |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492022000100314&tlng=en |
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