GWOT Vascular Injury Study 2 Supplemental Project: Impact of Prophylactic Fasciotomy
Technical Report,29 Sep 2014,28 Mar 2019
The Geneva Foundation Tacoma United States
Pagination or Media Count:
To determine the impact of the widespread use of fasciotomies on a mortality, delayed amputation, fasciotomy related morbidities, and fasciotomy wound management. Specific Aims 1 Identify patients that received fasciotomies and characterize the data relating to demographics, mortality, primary injury, complications, return-to-duty, long-term disabilities 2 determine the incidence of morbidities associated with fasciotomy 3 assess the impact of fasciotomy on delayed amputation and 4 characterize fasciotomy wound management. Study Design This proposal will involve a retrospective analysis of large patient cohort of US Service members included in the GWOTVII database as having sustained wartime LEVI with and without fasciotomy in the wars in Afghanistan and Iraq. The GWOTVII database will be used to initially identify patients and will then be used to provide demographic information and data on injury characteristics, complications, other injures, and limb salvage information. Information regarding fasciotomy wound management and iatrogenic complications of fasciotomy will be obtained from individual patient records. Information specific for return to duty and long-term disability will be obtained from the Physical Evaluation Board Liaison Office for each branch of service.
- Medicine and Medical Research