Table 9.
Outcomes of blunt trauma patients with extremity fractures.
Without embolism | Fat embolism | ||
---|---|---|---|
Characteristic | (n = 324,049) | (n = 116) | p-value |
LOS, days, median (IQR) | 6.0 (6, 12) | 12.0 (9, 22) | <0.001 |
ICU, days, median (IQR) | 4.0 (4, 11) | 6.0 (4, 13) | 0.02 |
Ventilator, days, median (IQR) | 4.0 (4, 12) | 7.0 (5, 14) | 0.30 |
Complications, n (%) | |||
Acute kidney injury | 4417 (1.4%) | 4 (3.4%) | 0.05 |
ARDS | 4013 (1.2%) | 26 (22.4%) | <0.001 |
Cardiac arrest with CPR | 3709 (1.1%) | 5 (4.3%) | 0.001 |
CAUTI | 120 (0.04%) | 0 | 0.84 |
CLASBI | 15 (0.005%) | 0 | 0.94 |
Decubitus | 3505 (1.1%) | 3 (2.6%) | 0.12 |
Deep site infection | 990 (0.3%) | 0 | 0.55 |
Extremity compartment syndrome | 1713 (0.5%) | 3 (2.6%) | 0.002 |
Myocardial infarction | 1842 (0.6%) | 0 | 0.42 |
Organ space infection | 893 (0.3%) | 0 | 0.57 |
Cerebrovascular accident | 1389 (0.4%) | 6 (5.2%) | <0.001 |
Superficial infection | 1151 (0.4%) | 1 (0.9%) | 0.36 |
Unplanned ICU admission | 3725 (1.1%) | 5 (4.3%) | 0.001 |
Unplanned intubation | 3976 (1.2%) | 12 (10.3%) | <0.001 |
Deep vein thrombosis | 5617 (1.7%) | 9 (7.8%) | <0.001 |
Pulmonary embolism | 2901 (0.9%) | 9 (7.8%) | <0.001 |
Pneumonia | 10,767 (3.3%) | 21 (18.1%) | <0.001 |
Osteomyelitis | 208 (0.1%) | 0 | 0.79 |
Severe sepsis | 1840 (0.6%) | 0 | 0.42 |
Urinary tract infection | 8605 (2.7%) | 5 (4.3%) | 0.27 |
Ventilator associated pneumonia | 148 (0.05%) | 0 | 0.82 |
Mortality, n (%) | 13,377 (4.1%) | 13 (11.2%) | <0.001 |
IQR = interquartile range, LOS = length of stay, ICU = intensive care unit, ARDS = acute respiratory distress syndrome, CAUTI = catheter associated urinary tract infection, CLABSI = central line associated bloodstream infection, CPR = cardiopulmonary resuscitation.