AI Article Synopsis
- Acute compartment syndrome (ACS) risk factors include tibial fractures and soft tissue injuries, with a study analyzing data from the National Trauma Data Bank (2017-2019) focusing on adult patients with lower extremity fractures.
- The analysis revealed that patients with a BMI of ≥30 had a lower incidence of ACS compared to those with a BMI of 25-29, and older age groups (≥55 in males and 65-84 in females) also had decreased risk.
- Proximal tibial fractures were significantly linked to ACS compared to midshaft and distal fractures, highlighting the importance of understanding these risk factors in trauma patients.
Article Abstract
Background: Risk factors of acute compartment syndrome (ACS) of the leg include tibial fractures followed by soft tissue injuries.
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.
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.
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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223954 | PMC |
| http://dx.doi.org/10.1016/j.amjsurg.2024.04.013 | DOI Listing |
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