J Am Coll Surg 2021 Jan 3;232(1):102-113.e4. Epub 2020 Oct 3.
Department of Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY; Divisions of Vascular and Endovascular Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY. Electronic address:
Background: Thirty years after the Mangled Extremity Severity Score was developed, advances in vascular, trauma, and orthopaedic surgery have rendered the sensitivity of this score obsolete. A significant number of patients receive amputation during subsequent admissions, which are often missed in the analysis of amputation at the index admission. We aimed to identify risk factors for and predict amputation on initial admission or within 30 days of discharge (peritraumatic amputation [PTA]). Read More