TY  - JOUR
PY  - 2012//
TI  - Predicting outcomes using the National Trauma Data Bank: optimum management of traumatic blunt carotid and blunt thoracic injury
JO  - Perspectives in vascular surgery and endovascular therapy
A1  - Dua, Anahita
A1  - Desai, Sapan S.
A1  - Kuy, Sreyram
A1  - Patel, Bhavin
A1  - Dua, Arshish
A1  - Desai, Pathik J.
A1  - Darlow, Matthew
A1  - Shirgavi, Jay
A1  - Charlton-Ouw, Kristofer
A1  - Shortell, Cynthia
SP  - 123
EP  - 127
VL  - 24
IS  - 3
N2  - 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>
LA  - en
SN  - 1531-0035
UR  - http://dx.doi.org/10.1177/1531003513482492
ID  - ref1
ER  -