The outcome of osteofascial compartment syndrome in patients receiving mechanical circulatory support
Chen Ying
Li Chenglong
Wang Hong
Hou Xiaotong
Jia Ming
Abstract：Objective To analyze the outcome of osteofascial compartment syndrome(OCS) in patients with mechanical circulatory support after cardiac surgery.Methods Forty-two patients who suffered from OCS receiving mechanical circulatory support in Beijing Anzhen Hospital,Capital Medical University were retrospectively analyzed from January 2013 to December 2016;23 patients survived(survival group) and 19 patients died (death group) in the Intensive Care Unit.General clinical data,laboratory data and treatment options were analyzed.Results Liver failure rate,renal failure rate,24 h myoglobin level,12 h lactic acid level in survival group were significantly lower and leg obstruction-relieving rate was significantly higher than those in death group [39.1％ (9/23) vs 89.5％ (17/19),43.5％ (10/23) vs 84.2％ (16/19),1 575 (460,8 976) μg/L vs 8796(2998,34 251)μg/L,2.8(1.5,5.3)mmol/L vs 9.4(6.4,13.6)mmol/L,65.2％ (15/23) vs 15.8％ (3/19)] (P ＜ 0.05).Multivariate analysis showed that the obstruction-relieving rate was significantly correlated with prognosis of OCS (odds ratio =0.08,P =0.02).Conclusion Relieving obstruction of leg can improve the prognosis of OCS in patients receiving mechanical circulatory support.
Keywords：Osteofascial compartment syndromeMechanical circulatory supportRelieving obstruction
Publication Date：2017-07-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1032-1035 )