Frequency of cast-related complications and influencing factors in patients with casts

Casting is a common procedure in the treatment of extremity fractures, but it can lead to serious complications if applied improperly. However, there are few studies on the prevalence of cast-related complications.

To assess the frequency of cast-related complications and influencing factors in patients referred to medical centers affiliated with a University of Medical Sciences.

A descriptive study was conducted on 120 patients with limb fractures in need of casting. The study was conducted from November 1, 2020, to June 1, 2021. A checklist was used to assess complications, and complications were monitored by regular telephone contact. Each patient was followed up for 3 months. Descriptive and inferential statistics were used to analyze the data.

Pain, impaired mobility, numbness, swelling, and a burning sensation inside the cast were the most common complications in the first week after cast application and occurred in 94.2%, 72.5%, 60.8%, 60%, and 54.2% of patients, respectively. Patients whose casts were applied by a nurse experienced more pain (p = 0.002), numbness (p = 0.02), and swelling (p = 0.05). The incidence of numbness was significantly higher in patients who were more active during convalescence (p = 0.04).

Due to the importance of cast-related complications, in-service training programs for casting staff are needed. Furthermore, patient education and follow-up should be taken more seriously.