TY - JOUR
T1 - Dismounted complex blast injuries
T2 - patterns of injuries and resource utilization associated with the multiple extremity amputee.
AU - Fleming, Mark
AU - Waterman, Scott
AU - Dunne, James
AU - D'Alleyrand, Jean Claude
AU - Andersen, Romney C.
PY - 2012
Y1 - 2012
N2 - The objective of this report is to analyze the resource utilization and injury patterns of complex dismounted blast injuries. A retrospective review of U.S. service members injured in combat between 2007 and 2010 was conducted. Data analyzed included age, injury mechanism, amputated limbs, number and type of associated injuries, blood products utilized, intensive care unit length of stay (ILOS), hospital length of stay (HLOS) and the Injury Severity Score (ISS). Patients were stratified based on the number of amputations. Sixty-three patients comprised the multiple extremity amputation (MEA) group. Ninety-eight percent sustained injuries from an improvised explosive device (IED) and 96% were dismounted. The ISS, number of surgical encounters, blood products utilized and ILOS were all clinically significantly different than controls. Care of multiple extremity amputees involves the utilization of significant resources. This knowledge may better help surgeons and administrators allocate assets at hospitals, both military and civilian, who care for this complex and challenging patient population.
AB - The objective of this report is to analyze the resource utilization and injury patterns of complex dismounted blast injuries. A retrospective review of U.S. service members injured in combat between 2007 and 2010 was conducted. Data analyzed included age, injury mechanism, amputated limbs, number and type of associated injuries, blood products utilized, intensive care unit length of stay (ILOS), hospital length of stay (HLOS) and the Injury Severity Score (ISS). Patients were stratified based on the number of amputations. Sixty-three patients comprised the multiple extremity amputation (MEA) group. Ninety-eight percent sustained injuries from an improvised explosive device (IED) and 96% were dismounted. The ISS, number of surgical encounters, blood products utilized and ILOS were all clinically significantly different than controls. Care of multiple extremity amputees involves the utilization of significant resources. This knowledge may better help surgeons and administrators allocate assets at hospitals, both military and civilian, who care for this complex and challenging patient population.
UR - http://www.scopus.com/inward/record.url?scp=84864846441&partnerID=8YFLogxK
M3 - Article
C2 - 22381508
AN - SCOPUS:84864846441
SN - 1548-825X
VL - 21
SP - 32
EP - 37
JO - Journal of surgical orthopaedic advances
JF - Journal of surgical orthopaedic advances
IS - 1
ER -