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Blunt cerebrovascular injury incidence, stroke-rate, and mortality with the expanded Denver criteria

Surgery Jun 10, 2018

Grigorian A, et al. - Researchers investigated if the introduction of the expanded Denver criteria would lead to an increase in the national detection of blunt cerebrovascular injury with a subsequent decrease in stroke rate. Using the National Trauma Data Bank, patients with blunt trauma admissions were identified. Outcomes suggested that since the publication of the expanded Denver criteria, the detection of blunt cerebrovascular injury has increased by 16%. The skull-base fracture was noted to be the strongest traumatic risk factor for blunt cerebrovascular injury. In the post–expanded Denver criteria era, the stroke-rate nearly doubled despite an increase in detection rates warranting future research.
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