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Complications and Comorbidities in Hispanic Patients Who Develop Traumatic and Non-traumatic Acute Compartment

Jorge Alejandro Bernal1, Annelyn Torres-Reveron2, Jose Andres Gonzalez3

  • 1Internal Medicine Residency Program, University of Texas Rio Grande Valley - DHR Health, Edinburg, USA.

Cureus
|February 25, 2021
PubMed

Insights

Acute compartment syndrome (ACS) is a serious condition. Non-traumatic ACS risk factors include older age, comorbidities, statins, and anticoagulants, especially in Hispanic populations.

Area of Science:

  • Orthopedics
  • Emergency Medicine
  • Vascular Surgery

Background:

  • Acute compartment syndrome (ACS) is a critical medical emergency.
  • ACS is frequently under-recognized and understudied in clinical practice.
  • Identifying specific risk factors is crucial for timely diagnosis and intervention.

Purpose of the Study:

  • To identify risk factors for traumatic and non-traumatic ACS.
  • To analyze ACS presentations within a predominantly Hispanic patient cohort.
  • To compare risk profiles between traumatic and non-traumatic ACS cases.

Main Methods:

  • Retrospective analysis of medical records over four years.
  • Inclusion of patients diagnosed with ACS (traumatic and non-traumatic).
  • Statistical comparison of demographic and clinical factors between groups.

Main Results:

  • 26 traumatic ACS cases (younger males, fractures) and 21 non-traumatic ACS cases identified.
  • Non-traumatic ACS associated with older age, comorbidities, statin use, and anticoagulants (adjusted for age).
  • Hypertension present in 80% of non-traumatic ACS patients.

Conclusions:

  • Older patients with comorbidities on statins and anticoagulants require careful ACS monitoring after non-traumatic events.
  • Further research needed on statin interactions with ethnicity and comorbidities for early ACS detection.
  • Improved understanding can reduce ACS-related morbidity.

Keywords:
anticoagulantscomorbiditiesextremitiesfracturesgeneral trauma surgeryhypertensionrisk factorsstatins

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