From: Traumatic blunt thoracic aortic injury: a 10-year single-center retrospective analysis
Survivors (n = 63) | Fatalities (n = 9) | P value | |
---|---|---|---|
Age, mean (SD), y | 54.2 (9.1) | 48.9 (12.4) | 0.98 |
Male, n (%) | 48 (66.7) | 9 (12.5) | 0.19 |
Hypertension, n (%) | 23 (31.9) | 4 (5.6) | 0.927 |
Travel time to hospital ≤ 24 h | 30 (41.7) | 4 (5.6) | 0.92 |
GCS at ED, mean (SD) | 14.8 (0.9) | 10.8 (2.3) | 0.001 |
ISS score at ED, mean (SD) | 24 (18.2) | 34.8 (10.3) | 0.18 |
Creatinine, mean (SD) | 75.3 (25.5) | 209 (242.5) | 0.001 |
Prothrombin time, mean (SD) | 15.3 (25.5) | 17.7 (8.9) | 0.63 |
Fractured ribs, n (%) | 33 (45.8) | 4 (5.6) | 0.73 |
Abdominal injury, n (%) | 2 (2.8) | 1 (1.4) | 0.33 |
Pelvic injury, n (%) | 16 (22.2) | 2 (2.8) | 0.83 |
Traumatic brain injury, n (%) | 17 (23.6) | 6 (8.3) | 0.045 |
Location of aortic injury, n (%) | 0.11for all | ||
Ascending aorta | 6 (8.3) | 3 (4.2) | |
Aortic arch | 15 (20.8) | 3 (4.2) | |
Isthmus | 33 (45.8) | 3 (4.2) | |
Descending aorta | 9 (12.5) | 0 (0) | |
Grade of aortic injury, n (%) | 0.007for all | ||
I | 1 (1.4) | 0 (0) | |
II | 17 (23.6) | 0 (0) | |
III | 45 (62.5) | 7 (9.7) | |
IV | 0 (0) | 2 (2.8) | |
Length of hospital stay (mean ± SD, days) | 8.2 (6.3) | 7.9 (6.2) | 0.875 |
Nonoperative, n (%) | 5 | 3 | 0.013 for all |
Open surgery, n (%) | 2 | 2 | |
Endovascular stent, n (%) | 56 | 4 |