PMID: 16006840Jul 12, 2005Paper

One hundred ninety-five cases of high-voltage electric injury

The Journal of Burn Care & Rehabilitation
Leopoldo C CancioGeorge M Vaughan

Abstract

High-voltage electric injury (HVEI) is associated with a high incidence of extremity compartment syndrome and of major amputation. The purpose of this study was to review our experience with HVEI and to attempt to develop predictors of the need for fasciotomy and amputation in patients with HVEI. The records of the 195 patients with HVEI who were admitted to a single burn center during a 19-year period were reviewed. Evidence for muscle necrosis, to include myoglobinuria and elevated creatine phosphokinase (CPK) levels, was noted. A total 187 patients (95.9%) survived to hospital discharge. A total of 56 underwent fasciotomy within 24 h of injury; 80 patients underwent an amputation during the hospitalization. Fasciotomy was predicted by presence of myoglobinuria with an overall accuracy of 72.8%. Amputation was predicted by a logistic model incorporating myoglobinuria, undergoing a previous fasciotomy, and age, with an overall accuracy of 73.3%. HVEI was associated with high amputation risk and a low rate of mortality in patients admitted to our burn center. Patients with gross myoglobinuria are at higher risk of requiring fasciotomy and/or amputation.

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Citations

Nov 26, 2010·Annals of Plastic Surgery·Martin Friedrich VierhapperManfred Frey
Aug 3, 2014·The Surgical Clinics of North America·Leopoldo C Cancio
Sep 24, 2013·Annals of Emergency Medicine·Oscar J F van WaesJens A Halm
Aug 20, 2011·Burns : Journal of the International Society for Burn Injuries·David Benjamin LumentaManfred Frey
Dec 15, 2010·Burns : Journal of the International Society for Burn Injuries·Lucian FodorConstantin Ciuce
Jun 13, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Paolo FioramontiNicolò Scuderi
Apr 9, 2008·Burns : Journal of the International Society for Burn Injuries·Amber E RitenourLeopoldo C Cancio
Apr 3, 2007·Emergency Medicine Clinics of North America·Rubén Gómez, Leopoldo C Cancio
Dec 3, 2014·Burns : Journal of the International Society for Burn Injuries·Erol KesiktasMetin Yavuz
Jul 1, 2016·Journal of Burn Care & Research : Official Publication of the American Burn Association·Jessica G ShihMarc G Jeschke
Apr 8, 2009·Journal of Burn Care & Research : Official Publication of the American Burn Association·Alexander E HandschinPietro Giovanoli
Aug 16, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Col Patrick M Osborn, Andrew H Schmidt
Nov 9, 2019·International Journal of Legal Medicine·F ZackAndreas Büttner
Aug 1, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Himsikhar KhataniarLakshmeshwar Nagaraj Mohan
Feb 21, 2018·Annals of Plastic Surgery·Derek M CulnanWilliam C Lineaweaver
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Dec 21, 2018·Advances in Skin & Wound Care·Michael H E Hermans
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