Treatment of blunt thoracic aortic injury in Germany-Assessment of the TraumaRegister DGU®

Alexander Gombert*, Mohammad E. Barbati, Martin Storck, Drosos Kotelis, Paula Keschenau, Hans-Christoph Pape, Hagen Andruszkow, Rolf Lefering, Frank Hildebrand, Andreas Greiner, Michael J. Jacobs, Jochen Grommes

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Web of Science)

Abstract

Purpose

Using the data delivered by the German Trauma Register DGU (R) 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:

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.

Original languageEnglish
Article number0171837
Number of pages12
JournalPLOS ONE
Volume12
Issue number3
DOIs
Publication statusPublished - 27 Mar 2017

Keywords

  • ENDOVASCULAR REPAIR
  • TRAUMATIC RUPTURE
  • MULTICENTER
  • MANAGEMENT
  • SURGERY
  • SCORE
  • CARE

Cite this