Evaluation of the prognosis of surgically treated vascular trauma patients referred to Golestan Hospital in 2025

Vascular injury (trauma) is a serious medical emergency that could lead to amputation or death of patient if left undiagnosed or improperly treated. We designed and implemented this study to investigate the frequency of vascular injuries, their diagnostic methods, therapeutic measures, and outcomes in patients referred to Golestan Hospital of Ahvaz. A total of 269 patients with vascular trauma referred to Golestan Hospital of Ahvaz in 2025 to undergo surgery were recruited by census method in this descriptive-analytical study. A standard trauma registration checklist recorded demographic variables, injury mechanism, arterial involvement, diagnostic approaches, and surgical outcome. Data analysis was done in SPSS software (version 25) by chi-square, t-test, and analysis of variance. A large proportion of patients (73.6%) showed penetrating trauma, and femoral artery (30.5%) was the most commonly involved artery. Among patients, 84.8% were subject to surgery according to direct physical examination results. The mean surgical time was estimated at145.3 ± 34.8 min. The limb preservation rate of this study was 94.4%, and a significant correlation was observed between blunt trauma with higher amputation rates ( P < 0.001). Timely diagnosis based on clinical symptoms, together with proper interventions, plays a main role in attaining high limb preservation rates. However, blunt trauma and associated injuries are still major risk factors for adverse outcomes, demanding the provision of special care in regional trauma protocols.