@article{ref1,
title="Aortic Trauma in Scotland - A Population Based Study",
journal="European journal of vascular and endovascular surgery",
year="2006",
author="Tambyraja, A. L. and Scollay, John M. and Beard, D. and Henry, J. M. and Murie, J. A. and Chalmers, R. T. A.",
volume="32",
number="6",
pages="686-689",
abstract="OBJECTIVES: This population-based study aims to determine the incidence, mechanisms and outcomes of aortic trauma in patients from Scotland between 1992-2002. METHODS: Patients with aortic trauma were identified from the Scottish Trauma Audit Group database. Demographics, mechanism of injury, initial management and outcome were analysed. RESULTS: 165 (0.3%) patients suffered trauma to the thoracic or abdominal aorta. Of these, 130 (79%) patients had an injury of the thoracic aorta, 33 (20%) an injury of the abdominal aorta and two (1%) had injuries of both. There were 123 (75%) men and 42 (25%) women with a median (range) age of 36 (14-90) years. Blunt trauma was responsible for 121 (73%) injuries, of which road traffic accidents were the most common mechanism. A further 44 (27%) aortic injuries were due to penetrating trauma, of which assault was the most common cause. The median (range) Injury Severity Score was 43 (16-75). Ninety (55%) patients died in the emergency department while 59 (32%) underwent attempted operative repair. The operative mortality was 35 (59%) of 59 patients and overall mortality 141 (86%) of 165 patients. CONCLUSIONS: The incidence of aortic trauma presenting to Scottish hospitals is low. The majority of patients do not survive to surgical repair and operative and overall mortality remain prohibitive.<p /><p>Language: en</p>",
language="en",
issn="1078-5884",
doi="10.1016/j.ejvs.2006.04.006",
url="http://dx.doi.org/10.1016/j.ejvs.2006.04.006"
}