[Diagnostics and treatment decisions in acute compartment syndrome. Results of a survey in German hospitals]. / Diagnostik und Therapieentscheidung beim akuten Kompartmentsyndrom. Ergebnisse einer Umfrage in deutschen Kliniken.
Unfallchirurg
; 119(2): 125-32, 2016 Feb.
Article
em De
| MEDLINE
| ID: mdl-25015736
ABSTRACT
BACKGROUND AND OBJECTIVES:
The presented survey was intended to evaluate whether a standardization of diagnostics and therapy for acute compartment syndrome has been achieved. MATERIALS ANDMETHODS:
University hospitals, academic teaching hospitals, and county hospitals in Germany were included.RESULTS:
A total of 38% (n=120) of all contacted hospitals participated in this study with questions mainly answered by consulting physicians (68%). In general the importance of the clinical examination was considered as being more important than other diagnostic measures. In cases where further diagnostics were necessary, the intramuscular pressure measurement was used most frequently. Of the participants 50% performed surgical fasciotomy based on the clinical examination in combination with the intramuscular pressure measurement; however, there were considerable differences between the participating hospitals with respect to the anatomical position of intramuscular measurements, the limiting value of the intramuscular pressure and the surgical technique for performing fasciotomy.CONCLUSION:
According to the presented analysis the diagnosis and indications for surgical treatment in patients developing an acute compartment syndrome do not seem to be sufficiently clarified. The establishment of unified treatment guidelines could help to reduce the number of delayed diagnoses of compartment syndrome.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Síndromes Compartimentais
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Descompressão Cirúrgica
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Fasciotomia
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Hospitalização
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Manometria
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Guideline
/
Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Humans
País como assunto:
Europa
Idioma:
De
Ano de publicação:
2016
Tipo de documento:
Article