Table 2.
MESS Score |
||||
---|---|---|---|---|
All | MESS < 8 | MESS ≥ 8 | ||
Variable | (n = 230) | (n = 214) | (n = 16) | p-value |
Age (Mean ± SD) | 34 ± 15.3 | 32.8 ± 14.7 | 48.3 ± 15.6 | 0.0003 |
Male, n (%) | 202 (87.8) | 187 (87.4) | 15 (93.8) | 0.4 |
Injury Mechanism | 0.004 | |||
Blunt, n (%) | 109 (47.4) | 96 (44.9) | 13 (81.3) | |
Penetrating, n (%) | 114 (49.6) | 112 (52.3) | 2 (12.5) | |
Mixed blunt and penetrating, n (%) | 7 (3.0) | 6 (2.8) | 1 (6.3) | |
Injured artery: | 0.7 | |||
Femoral, n (%) | 102 (44.3) | 97 (45.3) | 5 (31.3) | |
Popliteal, n (%) | 60 (26.1) | 55 (25.7) | 5 (31.3) | |
Distal to popliteal artery, n (%) | 63 (27.4) | 57 (26.6) | 6 (37.5) | |
Multiple levels, n (%) | 5 (2.2) | 5 (2.3) | 0 (0) | |
Transection, n (%) | 105 (45.7) | 93 (43.5) | 12 (75) | 0.01 |
Flow limiting defect, n (%) | 44 (19.1) | 42 (19.6) | 2 (12.5) | 0.4 |
Occlusion, n (%) | 38 (16.5) | 36 (16.8) | 2 (12.5) | 0.5 |
Pseudoaneurysm, n (%) | 9 (3.9) | 9 (4.2) | 0 (0) | 0.5 |
Other injury type, n (%) | 41 (17.8) | 40 (18.7) | 1 (6.3) | 0.2 |
Median ISS (Q1, Q3) | 11 (9, 19) | 10.5 (9, 18) | 21 (17, 26) | 0.0003 |
Median AIS-extremity (Q1, Q3) | 3 (3, 4) | 3 (3, 4) | 3 (3, 4) | 0.1 |
Mean Admission SBP ± SD | 120.9 ± 30.0 | 121.4 ± 29.9 | 115.9 ± 31.7 | 0.5 |
Median GCS (Q1, Q3) | 15 (14, 15) | 15 (15, 15) | 15 (14, 15) | 0.7 |
Concomitant venous injury, n (%) | 50 (21.7) | 46 (21.5) | 4 (25) | 0.5 |
Vein repaired, n (%) | 47/50 (94.0) | 43/46 (93.4) | 4/4 (100%) | 0.4 |
Concomitant nerve injury, n (%) | 33 (14.4) | 22 (10.3) | 11 (68.8) | < 0.001 |
Concomitant orthopedic injury, n (%) | 94 (40.9) | 83 (38.8) | 11 (68.8) | 0.02 |
Pre-hospital Tourniquet, n (%) | 22 (9.6) | 20 (9.4) | 2 (12.5) | 0.5 |
Temporary shunt utilized, n (%) | 17 (7.4) | 17 (7.9) | 0 (0) | 0.3 |
Fasciotomy, n (%) | 94 (40.9) | 89 (41.6) | 5 (31.3) | 0.3 |
ISS = Injury severity score
AIS = Abbreviated injury score
SBP = Systolic blood pressure
GCS = Glasgow coma score
MESS = Mangled extremity severity score
Q1 = Lower quantile (25th percentile)
Q3 = Upper quantile (75th percentile)