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

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Dua, A; Desai, SS; Kuy, S; Patel, B; Dua, A; Desai, PJ; Darlow, M; Shirgavi, J; Charlton-Ouw, K; Shortell, C

Published Date

  • September 2012

Published In

Volume / Issue

  • 24 / 3

Start / End Page

  • 123 - 127

PubMed ID

  • 23531516

Pubmed Central ID

  • 23531516

Electronic International Standard Serial Number (EISSN)

  • 1521-5768

International Standard Serial Number (ISSN)

  • 1531-0035

Digital Object Identifier (DOI)

  • 10.1177/1531003513482492

Language

  • eng