title: Iliac vessel injury: operative physiology related to outcome.
abstract: BACKGROUND
  Fifty-three patients treated at a level I trauma center with iliac vessel injury were studied to determine if body temperature and acid-base status in the operating room predicts outcome.
  
  
  METHODS
  Records were reviewed for demographics, mechanism of injury, body temperature, acid-base status, operative management, and outcome. Statistical methods included Student's t test, odds ratio determination, and chi-square analysis to determine statistical significance.
  
  
  RESULTS
  Fifty-three patients (47 male, 6 female) sustained 92 iliac vascular injuries (36 arterial, 56 venous). Mortality was 34%, with 72% of deaths due to shock within 24 hours. Physiologic parameters differed significantly between survivors and nonsurvivors. Odds ratio identified six conditions; the number present predicted outcome.
  
  
  CONCLUSIONS
  (1) There are significant differences between initial and final operating room temperature and acid-base status in survivors versus nonsurvivors with iliac vessel injury. Conditions for odds ratio can be calculated and correlated with outcome. (2) A patient with two or more conditions should be considered for an abbreviated laparotomy to allow for reversal of "physiologic failure."
authors.affiliation: Department of Surgery, Emory University School of Medicine/Grady Memorial Hospital, Atlanta, Georgia, USA.
authors.forename: J G
authors.initials: JG
authors.lastname: Cushman
authors.forename: D V
authors.initials: DV
authors.lastname: Feliciano
authors.forename: B M
authors.initials: BM
authors.lastname: Renz
authors.forename: W L
authors.initials: WL
authors.lastname: Ingram
authors.forename: J D
authors.initials: JD
authors.lastname: Ansley
authors.forename: W S
authors.initials: WS
authors.lastname: Clark
authors.forename: G S
authors.initials: GS
authors.lastname: Rozycki
mesh_terms: D000136:Acid-Base Equilibrium; D000293:Adolescent; D000328:Adult; D000368:Aged; D001831:Body Temperature; D002648:Child; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000293:injuries* / Q000601:surgery; D007084:Iliac Vein / Q000293:injuries* / Q000601:surgery; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality / Q000503:physiopathology; D016017:Odds Ratio; D011183:Postoperative Complications; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000401:mortality / Q000503:physiopathology; D014950:Wounds, Penetrating / Q000401:mortality / Q000503:physiopathology*