Key result
Iliac vein injuries are linked to ~51% mortality, escalating with low trauma scores or severe hypotension.
Why the study?
Mortality rates and factors influencing outcomes in patients with iliac vein injuries were not well characterized and appeared higher than in other series.
What factors are associated with increased mortality in patients with iliac vein injuries?
Population
49 patients treated for iliac vein injuries over 8 years
Comparison
Factors associated with mortality rate in iliac vein injuries
Design
Observational cohort study
Authors
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Iliac vein injuries carry high mortality with physiologic compromise; leaves open optimal damage-control strategies pending prospective validation.
Observational (n=49)
What factors are associated with increased mortality in patients with iliac vein injuries?
Iliac vein injuries carry a high mortality rate (51%), strongly associated with severe physiologic derangement on presentation, suggesting a need for aggressive resuscitation and damage control surgery.
Wilson et al. (1990) conducted an observational in Iliac vein injuries (n=49). Iliac vein injuries and severe trauma factors was evaluated on Mortality rate. Iliac vein injuries carried a 51% mortality rate, with risk increasing significantly in the presence of factors like Trauma Score <11 (71% mortality) and initial OR systolic BP <70 mm Hg (89%).
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