Investigation and Comparison of Therapeutic Outcomes Due to Penetrating Vascular Trauma of the Upper and Lower Limbs in Patients Referred to Ahvaz Golestan Hospital

Introduction: Limited research has been done on vascular traumas of the upper limb and their comparison with those of the lower limb. This research was conducted to determine and compare the therapeutic outcomes of penetrating vascular trauma of the upper and lower limbs in patients referred to Golestan Ahvaz Hospital in ۲۰۲۴.Methods: This was a descriptive-analytical and prospective study. The sample size was determined using the census (۸۲۰ participants). Information was obtained through the medical records and entered into the checklist. Primary outcomes included mortality, rehospitalization, amputation, and revascularization interventions, and other outcomes included operative complications and neurological deficits, which were compared in two groups of upper and lower limb injuries. Results: The frequency of arterial involvement (P=۰.۰۰۳), compartment syndrome (P=۰.۰۱۴), and nerve injury (P=۰.۰۰۵) was higher in the upper limb group. The duration of hospitalization in the lower limb group was significantly longer (P=۰.۰۰۳). In treating penetrating arterial injuries, the rate of primary anastomosis (P=۰.۰۰۶) and ligation of arterioles (P=۰.۰۳۹) was significantly higher in the upper limb group. In comparison, the rate of using venous interposition graft (P=۰.۰۳۲) was significantly higher in the lower limb group. In treating venous injuries, the rate of fasciotomy (P=۰.۰۳۱) was significantly higher in the lower limb group. Mortality rate (P=۰.۰۲۳), amputation (P=۰.۰۰۱), need for reoperation (P=۰.۰۴۱), and need for therapeutic fasciotomy (P=۰.۰۰۱) in the lower limb group were significantly higher. At the same time, the frequency of nerve damage (P=۰.۰۰۳) was significantly higher in the upper limb group.Conclusions: The results show a difference between the initial manifestations, management, and surgery and the outcomes of penetrating injury of the upper and lower limbs, which suggests that attention to penetrating injury seems necessary to prevent mortality and morbidity.

کلیدواژه ها:

Extremity ، Iran ، Artery ، Vein ، Trauma