and Outcome of Vascular Trauma at a British Major Trauma Centre


Epidemiology and Outcome of Vascular Trauma at a British Major Trauma Centre


Perkins ZB, De’Ath HD, Aylwin C, et al (The Royal London Hosp, UK) Eur J Vasc Endovasc Surg 44:203-209, 2012§



B.W. Starnes, MD



Evidence Ranking


C



Expert Rating


1



Abstract





Results


Vascular injuries were present in 256 patients (4.4%) of the 5823 total trauma admissions. Penetrating trauma caused 135 (53%) vascular injuries whilst the remainder resulted from blunt trauma. Compared to penetrating vascular trauma, patients with blunt trauma were more severely injured (median ISS 29 [18–38] vs. ISS 11 [9–17], p < 0.0001), had greater mortality (26% vs. 10%; OR 3.0, 95% CI 1.5–5.9; p < 0.01) and higher limb amputation rates (12% vs. 0%; p < 0.0001). Blunt vascular trauma patients were also twice as likely to require a massive blood transfusion (48% vs. 25%; p = 0.0002) and had a five-fold longer hospital length of stay (median 35 days (15–58) vs. 7 (4–13), p < 0.0001) and critical care stay (median 5 days (0–11) vs. 0 (0–2), p < 0.0001) compared to patients with penetrating trauma. Multivariate regression analysis showed that age, ISS, shock and zone of injury were independent predictors of death following vascular trauma.

Related posts:

  1. Muscle Adaptation in Response to Supervised Exercise Training for Intermittent Claudication
  2. Follow-Up of Endovascular Treatment for Trans-Atlantic Inter-Society Consensus II Type B Iliac Lesions in Patients Aged <50 Years
  3. of Gender and Age on Outcomes of Tibial Artery Endovascular Interventions in Critical Limb Ischemia
  4. influence of metabolic syndrome on hemodialysis access patency

Stay updated, free articles. Join our Telegram channel
Tags:
Apr 3, 2017 | Posted by in CARDIOLOGY | Comments Off on and Outcome of Vascular Trauma at a British Major Trauma Centre

Full access? Get Clinical Tree
Get Clinical Tree app for offline access