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Table 2 Management, complications and outcome by type of degloving injury

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
  1. aMedian and range, bSerial debridement and washout (with or without vacuum assisted closure)