Incidence and Characterization of Major Upper-Extremity Amputations in the National Trauma Data Bank

• DOI: 10.2106/jbjs.oa.17.00038
• Publication Date: 2018-04-24T17:19:53Z
• Authors: Elizabeth Inkellis; Eric Edison Low; Christopher Langh...; Saam Morshed
• Keywords: Neurovascular bundle; Fasciotomy

There are few recent data examining the epidemiology of severe upper-extremity trauma in non-military patients. We used National Trauma Data Bank (NTDB) to investigate and descriptive characteristics amputations U.S. centers.We queried 2009 2012 NTDB research datasets for patients undergoing major amputation extracted patient population, injury distribution, treating facilities. In addition, multivariable regression models were fit identify correlates reoperation, in-hospital complications, duration hospitalization, mortality.A total 1,386 underwent a secondary trauma-related injury, representing 46 per 100,000 admissions from 2012. The most frequent definitive procedures performed through humerus (35%), forearm (30%), hand (14%). average hospitalization all amputees was 17 days. Thirty-one percent at least 1 reoperation. rate reoperation significantly higher university-associated hospitals compared with nonteaching or community (p < 0.0001). Patients who had stayed hospital approximately 7 days longer than did not undergo Injury Severity Score, teaching status, concomitant neurovascular occurrence complication associated reoperation.The present study provides an updated report on civilian population. Additional work is necessary assess long-term outcomes following attempted salvage. population-level provided by may help inform design implementation future studies optimum treatment this survivable but life-altering injury.