Abstract
The relevance of abdominal vascular injuries in polytraumatic patients within a large collective has not yet been thoroughly analyzed. This study aimed at assessing the prevalence of traumatic injuries in relation to outcome and currently established treatment options. 51,425 patients from the Trauma Registry of the German Society of Trauma Surgery (TR DGU) (1993-2009) were analyzed retrospectively. All patients who had an Injury Severity Score (ISS) of ≥16, were directly admitted to a trauma center and subsequently received treatment for at least three days, were ≥16 years old, and had an abdominal injury (AISabdomen ≥2) were included. Patients with abdominal trauma (AISabdomen ≥2) were compared with patients with additional vascular trauma (AISvascular 2-5). 10,530 (20.5 %) of the 51,425 patients had documented abdominal injury. 760 (7.2 %) of the patients with abdominal injury additionally showed abdominal vascular injury (AISabdomen ≥2, AISvascular 2-5) and were analyzed based on the classification of the American Association for the Surgery of Trauma (AAST) organ severity score (AAST vascular injury grade: II, 2.4 %; III, 2.7 %; IV, 1.8 %; V, 0.2 %. Patients with high-grade abdominal vascular injury (grades IV and V) showe...Continue Reading
References
Jun 1, 1992·Chest·R C BoneW J Sibbald
Oct 1, 1991·The British Journal of Surgery·R H Wilson, R J Moorehead
Jun 1, 1995·Annals of Surgery·M A CroceF E Pritchard
Jul 1, 1996·Intensive Care Medicine·J L VincentL G Thijs
Jan 7, 1998·The Journal of Trauma·T OslerW Long
Feb 9, 2000·Der Unfallchirurg·S Ruchholtz
May 24, 2001·The Journal of Trauma·D MaloneT M Scalea
Mar 20, 2002·The Journal of Trauma·John R ClarkeCharles J Mode
May 4, 2002·The Journal of Trauma·Steffen RuchholtzUNKNOWN Working Group on Multiple Trauma of the German Trauma Society
Sep 29, 2004·Der Unfallchirurg·B BouillonJ Sturm
Jun 10, 2006·The Journal of Trauma·Richard P DuttonMauricio Lynn
Oct 25, 2006·Perspectives in Vascular Surgery and Endovascular Therapy·Benjamin W Starnes, Zachary M Arthurs
Jun 30, 2007·Current Opinion in Critical Care·Thomas J Schroeppel, Martin A Croce
Mar 21, 2008·Der Unfallchirurg·S LendemansG Taeger
Mar 12, 2009·Der Unfallchirurg·J PfitzenmaierM Hohenfellner
Mar 27, 2009·Lancet·Stefan Huber-WagnerUNKNOWN Working Group on Polytrauma of the German Trauma Society
Sep 17, 2009·Der Unfallchirurg·C G WölflA Wentzensen
Sep 17, 2009·Der Unfallchirurg·S Flohé, D Nast-Kolb
Dec 10, 2009·Der Unfallchirurg·S WutzlerUNKNOWN Sektion Notfall-, Intensivmedizin und Schwerverletztenversorgung der Deutschen Gesellschaft für Unfallchirurgie (DGU)
Sep 9, 2010·Vascular·Jason ChirianoAhmed M Abou-Zamzam
Dec 2, 2011·Journal of Vascular Surgery·Benjamin W StarnesGabriel Aldea
Dec 3, 2011·Annals of Surgery·Mitchell Jay CohenJean Francois Pittet
Dec 23, 2011·The British Journal of Surgery·B O PattersonUNKNOWN London Vascular Injuries Working Group
Oct 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Rolf Lefering
Citations
Dec 24, 2014·Langenbeck's Archives of Surgery·Matthijs H van GoolWietse P Zuidema
Jan 11, 2020·Annals of Vascular Surgery·Jens BirklLeonie Goelz
Oct 14, 2021·Scientific Reports·Mohammad Esmaeil BarbatiAlexander Gombert