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Titolo:
OUTCOME AFTER BLUNT TRAUMATIC THORACIC AORTIC LACERATION - IDENTIFICATION OF A HIGH-RISK COHORT
Autore:
CAMP PC; SHACKFORD SR; FISCHER P; PEDEN E; HOYT DB; HEALY MA; ROSS SE; GROSSO MA; KNUDSON MM; TELLEZ MG; DAVIS JW; LORENZO M; METZDORFF MT; HARRISON PB; LIPPOLDT D; PIERCE GE; BLOOMFIELD GL; SUGERMAN H; OCHSNER MG; ESRIG BC; LAMAR T; LANDERSCASPER J; COGBILL TH; PACHTER HL; GUTH AA;
Indirizzi:
UNIV VERMONT,COLL MED,DEPT SURG,FLETCHER ALLEN HLTH CARE,FLETCHER HOUSE 301,MCHV CAMPUS BURLINGTON VT 05401 UNIV VERMONT,COLL MED,DEPT SURG,FLETCHER ALLEN HLTH CARE BURLINGTON VT 05401 UNIV TEXAS HOUSTON TX 00000 UNIV CALIF SAN DIEGO,MED CTR SAN DIEGO CA 92103 UNIV MED CTR,COOPER HOSP CAMDEN NJ 00000 UNIV CALIF SAN FRANCISCO,SAN FRANCISCO GEN HOSP SAN FRANCISCO CA 00000 UNIV CALIF SAN FRANCISCO,VALLEY MED CTR FRESNO CA 00000 LEGACY PORTLAND HOSP PORTLAND OR 00000 WESLEY MED CTR WICHITA KS 00000 UNIV KANSAS,MED CTR KANSAS CITY KS 66103 VIRGINIA COMMONWEALTH UNIV,MED COLL VIRGINIA RICHMOND VA 23298 MEM MED CTR SAVANNAH GA 00000 HUNTINGTON MEM HOSP PASADENA CA 00000 GUNDERSEN CLIN LA CROSSE WI 00000 NYU,BELLEVUE HOSP CTR NEW YORK NY 10016
Titolo Testata:
The journal of trauma, injury, infection, and critical care
fascicolo: 3, volume: 43, anno: 1997,
pagine: 413 - 422
Fonte:
ISI
Lingua:
ENG
Soggetto:
OCCULT ARTERIAL INJURIES; GERIATRIC-PATIENTS; MAJOR TRAUMA; RUPTURE; MANAGEMENT; SCORE;
Keywords:
TRAUMA; BLUNT AORTIC LACERATION; MANAGEMENT; COMORBIDITY; AGE; BETA-BLOCKERS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
P.C. Camp et al., "OUTCOME AFTER BLUNT TRAUMATIC THORACIC AORTIC LACERATION - IDENTIFICATION OF A HIGH-RISK COHORT", The journal of trauma, injury, infection, and critical care, 43(3), 1997, pp. 413-422

Abstract

Background: Specific cohorts of patients with blunt traumatic thoracic aortic laceration (BTTAL) might benefit from conservative or delayedmanagement. We hypothesized that age and comorbidities would predict outcome. Methods: BTTAL data from 14 trauma centers over 11 years. Hospital and autopsy records of confirmed BTTAL were retrospectively reviewed. Regression analysis evaluated outcome by trauma indices, age, premorbidities, interventions, adjuvant therapy, and delay of repair. Results: Three hundred ninety-five cases of BTTAL were identified, 233 who were stable. Stable cohort survival was 71.9%. No trauma indices predicted outcome. Comorbidities, especially coronary artery disease (CAD), were associated with mortality. The use of beta-blocking agents and maintenance of normal blood pressure were associated with survival. Delay of >4 hours to operative repair was not associated with increased mortality. Increasing age was associated with higher mortality. Multivariate regression found CAD and AGE predictive of mortality (log odds formula: exp [-2.0858 + 0.0253(AGE) + 2.0428(CAD)]). Conclusions: AGE and CAD are associated with worse outcome in stable BTTAL patients undergoing operative repair. Treating comorbidities and managing associated injuries should be undertaken in stable BTTAL patients. Physiologic stability should be established before repair of BTTAL.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/10/20 alle ore 21:27:05