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Fat embolism syndrome in blunt trauma patients with extremity fractures.

OBJECTIVE: This study sought to provide a national, descriptive analysis to determine fat embolism syndrome (FES) risk factors, hypothesizing that femur fractures and multiple fractures are associated with an increased risk.

METHODS: The Trauma Quality Improvement Program was queried (2010-2016) for patients with extremity fractures. A multivariable logistic regression analysis model was used.

RESULTS: From 324,165 patients, 116 patients (0.04%) were diagnosed with FES. An age ≤30, closed femur fracture, and multiple long bone fractures were associated with an increased risk of FES.

CONCLUSION: Future research to validate these findings and develop a clinical risk stratification tool appears warranted.

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