Rhabdomyolysis after penetrating trauma

Carlos V R Brown, Peter M Rhee, Kelly Evans, Demetrios Demetriades, George Velmahos

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Rhabdomyolysis (RHAB) is a known complication following blunt trauma. RHAB after penetrating trauma has not been studied. The objective of this study was to evaluate the incidence, risk factors, and complications of RHAB following penetrating trauma. Over a 5-year period, penetrating trauma patients admitted to our intensive care unit (ICU) were studied. Significant RHAB was defined as a CK level of 5000 U/L or higher. There were 873 patients (29 ± 12 years old, 92% male), of whom 767 (88%) had abnormal CK levels (range 520-165,943 U/L), and 111 patients (13%) developed significant RHAB. Victims of penetrating trauma who sustain vascular and severe extremity injury are at a sixfold increased risk to develop significant RHAB. Patients with significant RHAB had a higher rate of renal failure (23% vs 7%, P < 0.0001) and longer ICU stay (15 ± 26 days vs 8 ± 12 days, P < 0.0001). CK elevations and significant RHAB are common after penetrating trauma. Patients who sustain vascular and severe extremity injury as a result of their penetrating wounds are at high risk to develop significant RHAB, resulting in renal failure and prolonged ICU stay. Therefore, critically injured penetrating trauma patients should be routinely screened with CK levels.

Original languageEnglish (US)
Pages (from-to)890-892
Number of pages3
JournalAmerican Surgeon
Volume70
Issue number10
StatePublished - 2004
Externally publishedYes

Fingerprint

Rhabdomyolysis
Wounds and Injuries
Intensive Care Units
Renal Insufficiency
Blood Vessels
Extremities
Penetrating Wounds
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Brown, C. V. R., Rhee, P. M., Evans, K., Demetriades, D., & Velmahos, G. (2004). Rhabdomyolysis after penetrating trauma. American Surgeon, 70(10), 890-892.

Rhabdomyolysis after penetrating trauma. / Brown, Carlos V R; Rhee, Peter M; Evans, Kelly; Demetriades, Demetrios; Velmahos, George.

In: American Surgeon, Vol. 70, No. 10, 2004, p. 890-892.

Research output: Contribution to journalArticle

Brown, CVR, Rhee, PM, Evans, K, Demetriades, D & Velmahos, G 2004, 'Rhabdomyolysis after penetrating trauma', American Surgeon, vol. 70, no. 10, pp. 890-892.
Brown CVR, Rhee PM, Evans K, Demetriades D, Velmahos G. Rhabdomyolysis after penetrating trauma. American Surgeon. 2004;70(10):890-892.
Brown, Carlos V R ; Rhee, Peter M ; Evans, Kelly ; Demetriades, Demetrios ; Velmahos, George. / Rhabdomyolysis after penetrating trauma. In: American Surgeon. 2004 ; Vol. 70, No. 10. pp. 890-892.
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