@article{ref1,
title="Application of the Mangled Extremity Severity Score in a combat setting",
journal="Military medicine",
year="2007",
author="Rush, Robert M. Jr and Kjorstad, Randy and Starnes, Benjamin W. and Arrington, Edward D. and Devine, John D. and Andersen, Charles A.",
volume="172",
number="7",
pages="777-781",
abstract="OBJECTIVE: The aim of this study was to examine the Mangled Extremity Severity Score (MESS) in a combat setting. METHODS: Data on extremity injuries were collected from a forward surgical team. MESS and Revised Trauma Score values were retrospectively calculated for each patient. Student's t test was used to compare amputated and salvaged limbs. RESULTS: A total of 60 extremities was identified in 49 patients. There were 10 major vascular repairs (20%). MESS values differed significantly for the eight amputations performed (mean MESS, 7.87 +/- 1.91) and 50 salvaged extremities (mean MESS, 2.44 +/-_ 0.438; p = 0.001). CONCLUSIONS: A MESS of &gt;7 correlated with amputation, thus validating the MESS in a combat setting. A young average patient age and high-energy injury mechanism on the battlefield leave ischemic time and shock as the most important factors in dictating whether a MESS is &gt;7 or &lt;7.   <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="",
url="http://dx.doi.org/"
}