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

doi:10.1371/journal.pone.0171837

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 journal › Article › Academic › peer-review

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 language	English
Article number	0171837
Number of pages	12
Journal	PLOS ONE
Volume	12
Issue number	3
DOIs	https://doi.org/10.1371/journal.pone.0171837
Publication status	Published - 27 Mar 2017

Keywords

ENDOVASCULAR REPAIR
TRAUMATIC RUPTURE
MULTICENTER
MANAGEMENT
SURGERY
SCORE
CARE

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10.1371/journal.pone.0171837Licence: CC BY

Cite this

@article{b65560cf80dd485a939dfa6975ef36c6,

title = "Treatment of blunt thoracic aortic injury in Germany-Assessment of the TraumaRegister DGU{\textregistered}",

abstract = "PurposeUsing 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.MethodsProspectively collected data of patients suffering from BTAI were retrospectively analyzed with focus on the different treatment modalities for grade I-IV injuries.Results821 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:ConclusionEndovascular 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.",

keywords = "ENDOVASCULAR REPAIR, TRAUMATIC RUPTURE, MULTICENTER, MANAGEMENT, SURGERY, SCORE, CARE",

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

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doi = "10.1371/journal.pone.0171837",

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T1 - Treatment of blunt thoracic aortic injury in Germany-Assessment of the TraumaRegister DGU®

AU - Gombert, Alexander

AU - Barbati, Mohammad E.

AU - Storck, Martin

AU - Kotelis, Drosos

AU - Keschenau, Paula

AU - Pape, Hans-Christoph

AU - Andruszkow, Hagen

AU - Lefering, Rolf

AU - Hildebrand, Frank

AU - Greiner, Andreas

AU - Jacobs, Michael J.

AU - Grommes, Jochen

PY - 2017/3/27

Y1 - 2017/3/27

N2 - PurposeUsing 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.MethodsProspectively collected data of patients suffering from BTAI were retrospectively analyzed with focus on the different treatment modalities for grade I-IV injuries.Results821 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:ConclusionEndovascular 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.

AB - PurposeUsing 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.MethodsProspectively collected data of patients suffering from BTAI were retrospectively analyzed with focus on the different treatment modalities for grade I-IV injuries.Results821 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:ConclusionEndovascular 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.

KW - ENDOVASCULAR REPAIR

KW - TRAUMATIC RUPTURE

KW - MULTICENTER

KW - MANAGEMENT

KW - SURGERY

KW - SCORE

KW - CARE

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