Predictors of blunt abdominal aortic injury in trauma patients and mortality analysis
Journal of Vascular Surgery Nov 10, 2019
Sheehan BM, Grigorian A, de Virgilio C, et al. - Researchers investigated the risk factors for Blunt abdominal aortic injury (BAAI) and risk factors for mortality in patients with BAAI. Querying the Trauma Quality Improvement Program (2010-2016), they identified 1,056,633 blunt trauma admissions; of these, 1,012 (0.1%) had BAAI. The overall mortality rate of 28.0% was reported. This study was identified to be the largest nationwide series to date demonstrating a continuously high mortality rate in correlation with BAAI with hemopneumothorax and IVC injury associated with the highest risk for mortality. The motor vehicle accident was identified to be the most common mechanism of injury followed by a pedestrian struck. For BAAI, other risk factors were the presentation with a rib fracture and trunk abrasion. They recommend maintaining a high suspicion of injury for BAAI when encountering these mechanisms of injury, physical examination or imaging findings.
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