@article{ref1,
title="Analyzing fat embolism syndrome in trauma patients at AIIMS Apex Trauma Center, New Delhi, India",
journal="Journal of emergencies, trauma and shock",
year="2011",
author="Gupta, Babita and D'souza, Nita and Sawhney, Chhavi and Farooque, Kamran and Kumar, Ajeet and Agrawal, Pramendra and Misra, M. C.",
volume="4",
number="3",
pages="337-341",
abstract="BACKGROUND: Fat embolism syndrome (FES) is a constellation of symptoms and signs subsequent to orthopedic trauma. MATERIALS AND METHODS: The clinical profile of FES in the trauma population was studied over 2 years and 8 months. RESULTS: The incidence of FES among all patients with long bone and pelvic fractures was 0.7% (12). The mean injury severity score was 10.37 (SD 1.69) (range 9-14). The diagnosis of FES was made by clinical and laboratory criteria. Hypoxia was the commonest presentation (92%). The average days of onset of symptoms were 3.5 (SD1.29) days. Management included ventilator support in 75%, average ventilator days being 7.8 (SD 4.08) days. The average ICU stay and hospital stay were 9.1 days and 29.7 days, respectively. A mortality of 8.3% (1) was observed. CONCLUSION: Fat embolism remains a diagnosis of exclusion and is a clinical dilemma. Clinically apparent FES is unusual and needs high index of suspicion, especially in long bone and pelvic fractures.<p /> <p>Language: en</p>",
language="en",
issn="0974-2700",
doi="10.4103/0974-2700.83859",
url="http://dx.doi.org/10.4103/0974-2700.83859"
}