TY  - JOUR
PY  - 2011//
TI  - Analyzing fat embolism syndrome in trauma patients at AIIMS Apex Trauma Center, New Delhi, India
JO  - Journal of emergencies, trauma and shock
A1  - Gupta, Babita
A1  - D'souza, Nita
A1  - Sawhney, Chhavi
A1  - Farooque, Kamran
A1  - Kumar, Ajeet
A1  - Agrawal, Pramendra
A1  - Misra, M. C.
SP  - 337
EP  - 341
VL  - 4
IS  - 3
N2  - 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>
LA  - en
SN  - 0974-2700
UR  - http://dx.doi.org/10.4103/0974-2700.83859
ID  - ref1
ER  -