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European Journal of Trauma and Emergency Surgery

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06-06-2023 | Compartment Syndrome | Original Article

Surgical site infection following fasciotomy in patients with acute forearm compartment syndrome: a retrospective analysis of risk factors

Authors: Ming An, Ruili Jia, Hui Qi, Shuai Wang, Jingtian Ren, Yubin Long

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2023

Abstract

Purpose

Fasciotomy, a standard therapy for acute forearm compartment syndrome (AFCS), can prevent serious complications, but there may be significant postoperative consequences. Surgical site infection (SSI) may cause fever, discomfort, and potentially fatal sepsis. This study aimed to identify risk factors for SSI in AFCS patients who had undergone fasciotomy.

Materials and methods

Patients with AFCS who had fasciotomies between November 2013 and January 2021 were recruited. We collected demographic information, comorbidities, and admission laboratory results. Analyses of continuous data were conducted using the t-test, the Mann–Whitney U test, and logistic regression analysis, while analyses of categorical data were conducted using the Chi-square and Fisher's exact tests.

Results

Sixteen AFCS patients (13.9%) suffered infections that need further therapy. Using the logistic regression analysis, we identified that patients with a history of diabetes (p = 0.028, OR = 16.353, 95% CI (1.357, 197.001)), open fractures (p = 0.026, OR = 5.239, 95% CI (1.223, 22.438)), and a higher level of TC (p = 0.004, OR = 4.871, 95% CI (1.654–14.350)) were the best predictors of SSI, while ALB levels (p = 0.004, OR = 0.776, 95% CI (0.653–0.924)) were protective for SSI in AFCS patients.

Conclusions

Our results showed that open fractures, diabetes, and TC levels were relevent risk factors for SSI following fasciotomy in patients with AFCS, allowing us to personalize the risk assessment and apply early targeted interventions.

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Title: Surgical site infection following fasciotomy in patients with acute forearm compartment syndrome: a retrospective analysis of risk factors
Authors: Ming An
Ruili Jia
Hui Qi
Shuai Wang
Jingtian Ren
Yubin Long
Publication date: 06-06-2023
Publisher: Springer Berlin Heidelberg
Keyword: Compartment Syndrome
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2023
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-023-02294-w

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Surgical site infection following fasciotomy in patients with acute forearm compartment syndrome: a retrospective analysis of risk factors

Abstract

Purpose

Materials and methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusions

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