Fasciotomy and rate of amputation after tibial fracture in adults: a population-based cohort study
Bihari A, McClure JA, Inculet C, Del Balso C, Vinden C, Schemitsch E, Sanders D, Lawendy AR. OTA Int. 2024; 7(2):e333. Epub 2024 Apr 15.
Background — Pregnant women represent a major challenge in trauma care because of the risks to both mother and child and because of the difficulties in following standard protocols.
Methods — We analyzed data for all pregnant women admitted to the hospital in Canada over 7 years to test whether major trauma still clustered in the summer despite their aversion toward alcohol, recklessness, and extreme sports.
Results — A total of 2,618 pregnant women sustained major trauma. The prevalence of pregnancy was marginally lower in summer than in winter (decrease, 3%; 95% confidence interval, 2–4%), whereas the incidence of major trauma in pregnant women was significantly higher in summer than in winter (increase, 12%; 95% confidence interval, 3–21%; p = 0.005). No evidence of offsetting decreases in severity appeared in analyses of length of stay, number of surgical procedures, or mortality.
Conclusion — We suggest that normal lifestyle choices contribute to an increased risk of major trauma during pregnancy and merit greater awareness throughout the year.
Redelmeier DA, Drucker A, Venkatesh V. J Trauma. 2005; 59(1):111-5.
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