What question did this study set out to answer?

To characterize national temporal trends, perioperative complications, and healthcare resource utilization associated with fat embolism in operatively managed trauma patients.

May 28, 2024SurgeryOpen Access

Trends and associated outcomes of fat embolism after trauma surgery

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Authors

KAKonmal AliUniversity of California, Los Angeles NCNam Yong ChoUniversity of California, Los Angeles ZTZachary TranLoma Linda University Medical Center

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Implication

Cohort study reveals increased mortality and severe complications with fat embolism in surgical trauma patients, highlighting the urgent need for early detection.

Key Points

To characterize national temporal trends, perioperative complications, and healthcare resource utilization associated with fat embolism in operatively managed trauma patients.
Analyzed adult trauma patients (≥18 years) undergoing major operations between 2005 and 2020 using the National Inpatient Sample (estimated N=10,600,000 hospitalizations).
Stratified patients by the presence of fat embolism and applied multivariable logistic and linear regressions to evaluate mortality, complication rates, length of stay, and costs.
Fat embolism was identified in 7,479 (0.07%) patients, who were younger (median age 55 vs 69 years, SMD=0.46) and more frequently treated at high-volume trauma centers (42.9% vs 33.7%, SMD=0.19).
Annual mortality and hospitalization costs among patients with fat embolism increased significantly over the study period (nptrend <0.001).
After risk adjustment, fat embolism was associated with higher odds of inpatient mortality (adjusted OR: 2.65, 95% CI: 2.24–3.14) alongside increased rates of cerebrovascular, infectious, and renal complications.

Cite This Study

Ali et al. (2024) studied this question.

synapsesocial.com/papers/6a03319cbc3ffe278e65516b https://doi.org/10.1016/j.surg.2024.04.008

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Implication

Cohort study reveals increased mortality and severe complications with fat embolism in surgical trauma patients, highlighting the urgent need for early detection.

Trends and associated outcomes of fat embolism after trauma surgery

Discussion

Member takes

Implication

Key Points

Cite This Study

Trends and associated outcomes of fat embolism after trauma surgery

Discussion

Member takes

Implication

Key Points

Cite This Study

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