Pediatric Upper Extremity Compartment Syndrome: An Analysis of Inpatient Outcomes.

Radius and ulna fractures were the most common fractures among pediatric patients with upper extremity acute compartment syndrome.

• The National Inpatient Sample (2015-2019) was queried for patients under 18 diagnosed with ACS, yielding 1,040 patients.
• Radius fractures accounted for 33.2% of cases.
• Ulna fractures accounted for 28.8% of cases.
• ICD-10 codes were used to identify fractures.

Transfer from another hospital was associated with higher odds of inpatient complications.

• The odds ratio for transfers was 3.862.
• Logistic regression was used to assess factors associated with complications.
• The authors describe transfer as independently associated with increased inpatient complications.

Delayed fasciotomy was associated with substantially higher odds of inpatient complications.

• The odds ratio for delayed fasciotomy was 5.998.
• Delayed fasciotomy was described as independently associated with increased inpatient complications.
• Analysis used logistic regression on National Inpatient Sample data.

Higher injury severity score was associated with increased complication risk.

• The odds ratio for high injury severity score was 1.132.
• This was identified via logistic regression assessing factors associated with complications.

Black and Hispanic patients had longer hospital stays than other patients.

• The abstract reports longer length of stay for Black and Hispanic patients.
• Specific length-of-stay values are not given in the abstract.