Risk factors for complications following decompression of non-traumatic compartment syndrome

Robert A. Christian*, Matthew J. Hartwell, Kenneth Y. Lee, Richard W. Nicolay, Daniel J. Johnson, Ryan S. Selley, Michael Allen Terry, Vehniah Kristin Tjong

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Purpose: To investigate the rate of and risk factors for complications following non-traumatic compartment syndrome decompression. Methods: The National Surgical Quality Improvement Program database was queried from 2006 to 2016 for non-traumatic compartment syndrome diagnosis codes. Multivariate analysis was performed to identify risk factors for 30-day complications and hospital readmissions. Results: Overall complication, major complication, minor complication, and hospital readmission rates were 4.5%, 2.5%, 2.3%, and 2.0%, respectively. Active smoking was identified as a risk factor for post-operative complication (95%CI 1.19–9.24). Conclusion: The complication profile of non-traumatic compartment syndrome decompression is higher than that of traditional elective orthopaedic surgery. Level of evidence: IV.

Original languageEnglish (US)
Pages (from-to)386-389
Number of pages4
JournalJournal of Orthopaedics
Volume16
Issue number5
DOIs
StatePublished - Sep 1 2019

Fingerprint

Compartment Syndromes
Decompression
Patient Readmission
Quality Improvement
Orthopedics
Multivariate Analysis
Smoking
Databases

Keywords

  • Atraumatic
  • Compartment syndrome
  • Exertional
  • Fasciotomy
  • Non-traumatic

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Christian, R. A., Hartwell, M. J., Lee, K. Y., Nicolay, R. W., Johnson, D. J., Selley, R. S., ... Tjong, V. K. (2019). Risk factors for complications following decompression of non-traumatic compartment syndrome. Journal of Orthopaedics, 16(5), 386-389. https://doi.org/10.1016/j.jor.2019.04.017
Christian, Robert A. ; Hartwell, Matthew J. ; Lee, Kenneth Y. ; Nicolay, Richard W. ; Johnson, Daniel J. ; Selley, Ryan S. ; Terry, Michael Allen ; Tjong, Vehniah Kristin. / Risk factors for complications following decompression of non-traumatic compartment syndrome. In: Journal of Orthopaedics. 2019 ; Vol. 16, No. 5. pp. 386-389.
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Risk factors for complications following decompression of non-traumatic compartment syndrome. / Christian, Robert A.; Hartwell, Matthew J.; Lee, Kenneth Y.; Nicolay, Richard W.; Johnson, Daniel J.; Selley, Ryan S.; Terry, Michael Allen; Tjong, Vehniah Kristin.

In: Journal of Orthopaedics, Vol. 16, No. 5, 01.09.2019, p. 386-389.

Research output: Contribution to journalArticle

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AU - Christian, Robert A.

AU - Hartwell, Matthew J.

AU - Lee, Kenneth Y.

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N2 - Purpose: To investigate the rate of and risk factors for complications following non-traumatic compartment syndrome decompression. Methods: The National Surgical Quality Improvement Program database was queried from 2006 to 2016 for non-traumatic compartment syndrome diagnosis codes. Multivariate analysis was performed to identify risk factors for 30-day complications and hospital readmissions. Results: Overall complication, major complication, minor complication, and hospital readmission rates were 4.5%, 2.5%, 2.3%, and 2.0%, respectively. Active smoking was identified as a risk factor for post-operative complication (95%CI 1.19–9.24). Conclusion: The complication profile of non-traumatic compartment syndrome decompression is higher than that of traditional elective orthopaedic surgery. Level of evidence: IV.

AB - Purpose: To investigate the rate of and risk factors for complications following non-traumatic compartment syndrome decompression. Methods: The National Surgical Quality Improvement Program database was queried from 2006 to 2016 for non-traumatic compartment syndrome diagnosis codes. Multivariate analysis was performed to identify risk factors for 30-day complications and hospital readmissions. Results: Overall complication, major complication, minor complication, and hospital readmission rates were 4.5%, 2.5%, 2.3%, and 2.0%, respectively. Active smoking was identified as a risk factor for post-operative complication (95%CI 1.19–9.24). Conclusion: The complication profile of non-traumatic compartment syndrome decompression is higher than that of traditional elective orthopaedic surgery. Level of evidence: IV.

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Christian RA, Hartwell MJ, Lee KY, Nicolay RW, Johnson DJ, Selley RS et al. Risk factors for complications following decompression of non-traumatic compartment syndrome. Journal of Orthopaedics. 2019 Sep 1;16(5):386-389. https://doi.org/10.1016/j.jor.2019.04.017