Outcome of Blunt Thoracic Aortic Injury in a Level I Trauma Center: an 8-Year Review.
Publication/Presentation Date
11-1-1997
Abstract
BACKGROUND: The purpose of this study was to evaluate our experience with blunt thoracic aortic injury and identify factors predictive of outcome.
METHODS: Hospital charts, trauma registry data, and autopsies of 64 patients with blunt thoracic aortic injury from 1988 to 1995 were reviewed.
RESULTS: Patients were identified and segregated based on admission physiology. Group 1 patients (n = 19) arrived in arrest. Group 2 patients (n = 10) arrived in shock with systolic BP 90. Group 3 patients (n = 35) arrived with systolic BP>90. All patients in groups 1 and 2 expired. Injury Severity Scores for nonsurvivors in group 3 (n = 12) were significantly higher than survivors. There were no significant differences when comparing time of injury to repair or arrival between groups, or in mortality or paralysis comparing repair techniques or clamp/bypass times. Double lumen endotracheal tubes caused significant operative delays compared to single lumen tubes.
CONCLUSIONS: Predictors of survivability were hemodynamic stability on arrival and lower Injury Severity Scores. In thoracic aortic injury patients arriving hemodynamically stable, Injury Severity Score correlated with mortality but not paralysis.
Volume
43
Issue
5
First Page
844
Last Page
851
ISSN
0022-5282
Published In/Presented At
Frick, E. J., Cipolle, M. D., Pasquale, M. D., Wasser, T. E., Rhodes, M., Singer, R. L., & Nastasee, S. A. (1997). Outcome of blunt thoracic aortic injury in a level I trauma center: an 8-year review. The Journal Of Trauma, 43(5), 844-851.
Disciplines
Other Medical Specialties | Surgery
PubMedID
9390499
LVHN link
http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=9390499&site=ehost-live&scope=site
Department(s)
Department of Surgery, Department of Surgery Faculty
Document Type
Article