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Treatment of blunt thoracic aortic injury in Germany—Assessment of the TraumaRegister DGU®
Gombert, Alexander ;  Barbati, Mohammad E. ;  Storck, Martin ;  Kotelis, Drosos ;  Keschenau, Paula ;  Pape, Hans-Christoph ;  Greiner, Andreas [u.a.]

HaupttitelTreatment of blunt thoracic aortic injury in Germany—Assessment of the TraumaRegister DGU®
AutorGombert, Alexander
AutorBarbati, Mohammad E.
AutorStorck, Martin
AutorKotelis, Drosos
AutorKeschenau, Paula
AutorPape, Hans-Christoph
AutorGreiner, Andreas [u.a.]
Seitenzahl12 S.
DDC610 Medizin und Gesundheit
Auch erschienen inPLoS ONE. - 12 (2017), 3, Artikel Nr. e0171837
ZusammenfassungPurpose

Using the data delivered by the German Trauma Register DGU® from 2002 till 2013, the value of different therapies of blunt thoracic aortic injury (BTAI) in Germany was analyzed.

Methods

Prospectively collected data of patients suffering from BTAI were retrospectively analyzed with focus on the different treatment modalities for grade I–IV injuries.

Results

821 patients suffering from BTAI were identified: 51.6% (424) grade I injury, 35.4% (291) grade II or III injury and 12.9% (106) grade IV injury (77.5% men [44.94 ± 20.6 years]). The main patterns of injury were high- speed accidents and falls (78.0% [n = 640], 21.8% [n = 171] respectively). Significant differences between grade I and grade II/III as well as IV injuries could be assessed for the incidence of cardiopulmonary resuscitation, a Glasgow Coma Scale score below 8 and a systolic blood pressure below 90 mmHg (p-value: <0.001). In the primary admission subgroup, 44.1% (197/447) of the patients received best medical treatment, 55.9% received surgical intervention (250/447): Thereof 37.2% (93/250) received open surgery and 62.8% (147/250) had been treated by endovascular means. Significantly lower 24-h- and in-hospital-mortality rates were encountered after endovascular treatment for all gradings of BTAI (p-value: <0.001). Yet this subgroup of patients showed the lowest incidence of further severe injuries and cardiac arrest.

Conclusion

Endovascular therapy became the treatment of choice for BTAI in Germany. Patients who have been treated by surgical means showed the highest survival rate, especially endovascular therapy showed a favorable low mortality rate.
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Fachbereich/EinrichtungMedizinische Fakultät Charité - Universitätsmedizin Berlin
Erscheinungsjahr2017
Dokumententyp/-SammlungenWissenschaftlicher Artikel
SpracheEnglisch
RechteCreative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Anmerkungen des AutorsDer Artikel wurde in einer reinen Open-Access-Zeitschrift publiziert.
Erstellt am18.05.2017 - 11:27:26
Letzte Änderung18.05.2017 - 11:32:33
 
Statische URLhttp://edocs.fu-berlin.de/docs/receive/FUDOCS_document_000000027028
DOI10.1371/journal.pone.0171837
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