Assessment of POPSAVEIT in lower extremity vascular injuries in Zagazig University

Zidan, Mohamed Hamed; Tawfik, Ahmed; Gameel, Abdelrahman; Elboushi, Amro Mohamed

doi:10.21608/zumj.2022.143249.2580

Assessment of POPSAVEIT in lower extremity vascular injuries in Zagazig University

Document Type : Original Article

Authors

¹ 1Department of Vascular Surgery, Faculty of Medicine, Zagazig University, Egypt

² 1Department of Vascular Surgery, Faculty of Medicine, Zagazig University, Egypt 2Department of Vascular , University Hospitals Birmingham, United Kingdom

10.21608/zumj.2022.143249.2580

Abstract

Abstract
Objective: Traumatic injury of popliteal artery records the highest risk of lower extremity loss with amputation rates of 10% to 15%. A method to investigate the predictors of amputation is needed because previous scores could not be validated.
Aim of work: The goal of this review is to investigate if POPSAVEIT (popliteal scoring assessment for vascular extremity injuries in trauma) may be used as a preoperative indicator of amputation risk in patients with traumatic injury of popliteal vessel.
Methods: From 2017 to 2022, all patients who underwent surgical repair of popliteal arterial traumatic injuries at Zagazig University Hospitals were included in this retrospective study. Patients who needed amputation were assessed to those with limb salvage. On the basis of univariate analysis, the significant predictors of POPSAVEIT variables for amputation were included in a multivariable analysis. To determine low vs. high-risk scores, receiver operating characteristic (ROC) curve are created.
Results: 76 patients were included in the study, with an overall amputation rate of 18.4%. The following risk factors were shown to be independently related with amputation: systolic blood pressure

Keywords