TY  - JOUR
PY  - 2006//
TI  - Aortic Trauma in Scotland - A Population Based Study
JO  - European journal of vascular and endovascular surgery
A1  - Tambyraja, A. L.
A1  - Scollay, John M.
A1  - Beard, D.
A1  - Henry, J. M.
A1  - Murie, J. A.
A1  - Chalmers, R. T. A.
SP  - 686
EP  - 689
VL  - 32
IS  - 6
N2  - 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>
LA  - en
SN  - 1078-5884
UR  - http://dx.doi.org/10.1016/j.ejvs.2006.04.006
ID  - ref1
ER  -