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Table 2 Summary of findings for patient outcomes from qualitative and quantitative synthesis

From: Surgical outcomes in adults with purpura fulminans: a systematic review and patient-level meta-synthesis

Total number of patients

Debridement

Time to debridement, days

Median (IQR)

Amputations

Median (IQR)

Amputations (bones removed/transected)

Median (IQR)

Time to amputation, days

Median (IQR)

Reconstruction (grafts)

Reconstruction (flaps)

Time to reconstruction, days

Median (IQR)

Hospital LOS, days

Median (IQR)

Complications

Mortality

Time to mortality, days

Median (IQR)

190

71/190 cases

12.5 (1.8–20.3)

•154/190 cases

•Limbs involved = 4 (4–4)

•BKA = 64

•AKA = 30

•Below-the-elbow = 28

•Above-the-elbow = 3

56 (9–84)

18 (14–28)

•Total grafts = 33

•ADM = 3

•STSG = 13

•FTSG = 1

•Undifferentiated allografts = 5

•Undifferentiated autografts = 7

•Unknown = 4

•Total flaps = 28

•Latissimus dorsi = 7

•Orbicularis oris = 4

•Serratus anterior = 2

•Posterolateral thigh = 1

•Free ALT = 1

•Free medial gastrocnemius = 1

•Gracilis = 1

•Internal island saphenous = 1

•Free forearm = 1

•Lateral arm = 1

•Forehead = 1

39 (23–56)

57 (43.3–87.8)

•28/190 cases

•Secondary infection = 20

•DVT/PE = 5

•Scarring = 5

•Wound contracture = 3

•Pressure ulcer = 1

•Wound breakdown = 1

•Alar stenosis = 1

•Facial deformity = 1

•Heterotopic ossification = 1

34/190 cases

36 (26.3–72.8)

  1. IQR interquartile range, BKA below-the-knee amputation, AKA above-the-knee amputation, ADM acellular dermal matrix, STSG split-thickness skin graft, FTSG full-thickness skin graft, ALT anterolateral thigh, LOS length of stay, DVT deep vein thrombosis, PE pulmonary embolism