Predicting outcomes using the National Trauma Data Bank: optimum management of traumatic blunt carotid and blunt thoracic injury.

Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 Epub Date: 2013-03-26 DOI:10.1177/1531003513482492

Anahita Dua, Sapan S Desai, SreyRam Kuy, Bhavin Patel, Arshish Dua, Pathik J Desai, Matthew Darlow, Jay Shirgavi, Kristofer Charlton-Ouw, Cynthia Shortell

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引用次数: 9

Abstract

Introduction: We used the National Trauma Data Bank (NTDB) to examine the incidence of blunt thoracic and carotid trauma nationally and survival outcomes based on treatment approach.

Methods: All vascular traumas were identified from the 2008 NTDB. International Classification of Diseases, 9th Revision (ICD-9) diagnosis coding was used to identify 178 blunt thoracic aortic injuries and 313 traumatic blunt carotid injuries.

Results: In all, 2089 vascular traumas were identified. Patients with blunt thoracic trauma within the highest injury severity score (ISS) range (61-75) had a significant survival advantage when observation was compared with endovascular management (P < .05). In the carotid trauma cohort, those with the highest ISS range (61-75) had a significant survival advantage with open surgery compared with observation (P < .01).

Conclusion: Patients with traumatic blunt thoracic injury and an ISS > 61 appeared to benefit from endovascular approaches compared with open management. Patients with blunt carotid trauma and an ISS > 61 appeared to benefit from open surgical management.

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使用国家创伤数据库预测结果:外伤性颈动脉钝性和胸椎钝性损伤的最佳处理。

简介:我们使用国家创伤数据库(NTDB)来检查全国钝性胸颈动脉创伤的发生率以及基于治疗方法的生存结果。方法:从2008年NTDB中鉴定所有血管损伤。应用国际疾病分类第9版(ICD-9)诊断编码对178例钝性胸主动脉损伤和313例外伤性颈动脉钝性损伤进行鉴定。结果:共发现血管损伤2089例。与血管内治疗相比，最高损伤严重程度评分(ISS)范围内(61 ~ 75)的钝性胸外伤患者具有显著的生存优势(P < 0.05)。在颈动脉创伤队列中，ISS范围最高(61 ~ 75)的患者与观察组相比，开放性手术的生存优势显著(P < 0.01)。结论:与开放治疗相比，ISS > 61的外伤性胸椎钝性损伤患者似乎从血管内入路获益。颈动脉钝性创伤和ISS > 61的患者似乎受益于开放手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Perspectives in vascular surgery and endovascular therapy

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