Therapeutic management of traumatic tension hematoma with potential skin necrosis: a retrospective review of 180 patients.
Introduction: Tension hematoma is a frequent traumatic condition in elderly population under anticoagulation treatments. However, scarce literature exists focused in the management of this condition. In this article, a retrospective study of patients that suffered from traumatic tension hematomas tr...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 2; pp. 1363 - 1368 |
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| Autores principales: | , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156244359&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156244359 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2022 vid: 48 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156244359 150401382 156244359 156244359 10.1007/s00068-021-01687-z 156244359 ppf: 1363 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Therapeutic management of traumatic tension hematoma with potential skin necrosis: a retrospective review of 180 patients. aug: au: Salmerón-González, Enrique García-Vilariño, Elena Pérez-García, Alberto affil: University Hospital Dr Peset, Avenida de Fernando Abril Martorell, nº 106, Torre E, Planta 5, 46023, Valencia, Comunidad Valenciana, Spain sug: subj: Skin Pathology Necrosis Therapy Hematoma Surgery Treatment Outcomes Evaluation Human Male Female Aged Aged, 80 and Over Spain Emergency Service Academic Medical Centers Record Review Retrospective Design Descriptive Statistics Drainage Methods Hematoma Complications Debridement Methods Length of Stay Aged: 65+ years Aged, 80 & over Male Female ab: Introduction: Tension hematoma is a frequent traumatic condition in elderly population under anticoagulation treatments. However, scarce literature exists focused in the management of this condition. In this article, a retrospective study of patients that suffered from traumatic tension hematomas treated at a plastic surgery department is reported. The objective was to evaluate the approach that provided better clinical outcomes, and the establishment of an evidence-based protocol. Methods: This retrospective study comprised 180 patients suffering from tension hematomas. Patients were divided in four groups: the first and second groups included patients that underwent debridement and coverage in one stage and two stages, respectively. The third group included patients that required debridement without skin grafting, and the fourth group, patients with hematomas that only necessitated drainage. Demographic variables, comorbidities, timing and complication rates of each technique were evaluated. Results: Length of hospital stay, medical complication and mortality rates were significantly higher in patients who underwent debridement and coverage surgeries in two separate procedures (p < 0.05). Patients with small-sized hematomas (avg 0.63% of total body surface) required only debridement. Patients that only required hematoma drainage, were treated during the first 24 h after injury (p < 0.03). Conclusions: Treatment of tension hematomas through early drainage should be performed as soon as possible from the time of injury. An evidence-based protocol should be established in every emergency department to improve patient clinical outcomes. When debridement and coverage surgery are required, they should be performed in one stage, to reduce length of hospital stay and the incidence of medical complications. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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