Spontaneous ilio-psoas hematomas complicating intensive care unit hospitalizations

PloS One
Thierry ArtznerFerhat Meziani

Abstract

Ilio-psoas hematoma is a potentially lethal condition that can arise during hospital stay. However, neither the incidence nor the prognosis of patients whose stay in intensive care units (ICU) is complicated by a iatrogenic ilio-psoas hematoma is known. A bicentric retrospective study was conducted to compile the patients who developed an ilio-psoas hematoma while they were hospitalized in ICU between January 2009 and December 2016. Their biometric characteristics, pre-existing conditions, the circumstances in which the hematoma was diagnosed, the treatments they received and their prognosis were recorded. Forty patients were diagnosed with an ilio-psoas hematoma during their ICU stay. The incidence of this complication was 3.8 cases for 1000 admissions, taking into account only patients who stayed more than three days in ICU. The median age of patients was 74 years old and the median time between admission and the diagnosis of ilio-psoas hematoma was 12.6 days. A large proportion of them was obese (42.5%) and/or under dialysis (50%) prior to developing their hematoma. Ninety-five percent of the patients had heparin at prophylactic or therapeutic doses. Only 10% of them were above the therapeutic range of anticoagulation. The I...Continue Reading

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Citations

Jan 2, 2021·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Hayato TaniguchiShingo Ichiba
Jan 26, 2021·Annals of Medicine·Alessandra VergoriUNKNOWN ReCOVeRI Study Group
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Jun 29, 2021·Academic Radiology·Josua A DeckerChristian Scheurig-Münkler

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