From: Patterns and management of degloving injuries: a single national level 1 trauma center experience
Overall (n = 178) | Open (n = 142) | Close (n = 36) | P | |
---|---|---|---|---|
Laboratory results | ||||
Myoglobin | 1190 ± 1179b | 1076 ± 1125 | 1636 ± 1293 | 0.02 |
Blood Urea Nitrogen | 4.8 ± 1.6b | 4.6 ± 1.4 | 5.5 ± 2 | 0.004 |
Serum Creatinine | 86.6 ± 37.3b | 81.6 ± 31 | 107 ± 52 | 0.01 |
White blood cells | 17.6 ± 7.7b | 18 ± 8 | 16 ± 7 | 0.09 |
Platelets | 250.8 ± 86.5b | 258 ± 86 | 224 ± 84 | 0.04 |
Hemoglobin | 12.9 ± 2.6b | 13 ± 2.5 | 12.6 ± 3 | 0.42 |
INR | 1.2 ± 0.3b | 1.19 ± 0.3 | 1.19 ± 0.2 | 0.92 |
Serum Lactate | 3.9 ± 2.4b | 4.05 ± 2.6 | 3.31 ± 1.9 | 0.72 |
Treatment of degloving Injury | ||||
Packed RBC units | 3 (1–25)a | 2 (1–20) | 6 (1–25) | 0.03 |
Fresh Frozen Plasma units | 6 (2–24)a | 5.5 (2–24) | 6 (4–13) | 0.46 |
Platelets units | 9 (1–28)a | 10 (1–28) | 5 (1–11) | 0.19 |
Primary Debridement/suturing | 112 (62.9 %) | 105 (73.9 %) | 7 (19.4 %) | 0.001 |
Initial conservative | 28 (15.7 %) | 0 (0.0 %) | 28 (77.8 %) | 0.001 |
Serial debridementb | 34 (19.1 %) | 33 (23.2 %) | 1 (2.8 %) | 0.003 |
Late flap | 22 (12.3 %) | 21 (14.8 %) | 1 (2.8 %) | 0.05 |
Disposition | ||||
Plastic surgery | 26 (14.6 %) | 23 (16.4 %) | 3 (8.3 %) | 0.22 |
Rehabilitation | 7 (3.9 %) | 7 (4.9 %) | 0 (0.0 %) | 0.17 |
Hospital length of stay; days | 10 (1–393)a | 11 (1–393) | 6 (1–365) | 0.11 |
Complications | ||||
Skin Infection | 7 (3.9 %) | 6 (4.3 %) | 1 (2.8 %) | 0.68 |
Skin necrosis | 2 (1.1 %) | 2 (1.4 %) | 0 (0.0 %) | 0.47 |
Mortality | 16 (9.0 %) | 9 (6.3 %) | 7 (19.4 %) | 0.01 |