@article{ref1,
title="Predicting outcomes using the National Trauma Data Bank: optimum management of traumatic blunt carotid and blunt thoracic injury",
journal="Perspectives in vascular surgery and endovascular therapy",
year="2012",
author="Dua, Anahita and Desai, Sapan S. and Kuy, Sreyram and Patel, Bhavin and Dua, Arshish and Desai, Pathik J. and Darlow, Matthew and Shirgavi, Jay and Charlton-Ouw, Kristofer and Shortell, Cynthia",
volume="24",
number="3",
pages="123-127",
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. <br><br>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. <br><br>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). <br><br>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.<p /><p>Language: en</p>",
language="en",
issn="1531-0035",
doi="10.1177/1531003513482492",
url="http://dx.doi.org/10.1177/1531003513482492"
}