Table 3

Comparison of clinical outcomes with and without tourniquet placement

TQ+ (n=69)TQ− (n=69)P value
HR, mean (SEM), bpm110 (4)100 (3)0.02
SBP, mean (SEM), mm Hg126 (4)130 (3)NS
Hematocrit, mean (SEM), %37.0 (0.9)37.8 (0.6)NS
MESS, mean (SEM)5.8 (0.3)5.1 (0.3)0.03
Received transfusion in the first 24 hours, n (%)46 (67)33 (48)0.03
pRBCs, mean (SEM), units3.5 (0.5)2.7 (0.8)NS
Initial amputation, n (%)16 (23)4 (6)<0.01
Delayed amputation, n (%)6 (9)7 (10)NS
Rhabdomyolysis, n (%)15 (22)12 (17)NS
Compartment syndrome, n (%)1 (1)2 (3)NS
Acute kidney injury, n (%)4 (6)2 (3)NS
Ventilator-free days, mean (SEM), 30 days27.7 (0.6)28.3 (0.6)NS
ICU-free days, mean (SEM), 30 days25.8 (0.7)26.7 (0.6)NS
Hospital-free days, mean (SEM), 30 days17.4 (1.2)20.1 (1.0)NS
Death, n (%)0 (0)2 (3)NS
  • HR, heart rate; ICU, intensive care unit; MESS, Mangled Extremity Severity Score; NS, not significant; SBP, systolic blood pressure; TQ+, with prehospital tourniquet; TQ−, without tourniquet placement; bpm, beats per minute; pRBCs, packed red blood cells.