American journal of surgery · 2025
Association of traumatic brain injury with management and outcomes of patients with blunt thoracic aortic injury.
СтатьяНазвание и аннотация: Перевод в очереди
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Andujo Victor, Chou Benjamin, Nako Eni, Durbin Samantha, Moneta Gregory L, Abraham Cherrie Z, Abtin Siran, Mcloud Scott, Schreiber Martin A, Doberne Julie
Аннотация
BACKGROUND: 30% of patients with blunt thoracic aortic injury (BTAI) can have concomitant traumatic brain injury (TBI), with mortality nearing 20%. Conflicting blood pressure goals may influence decision and timing of thoracic endovascular aortic repair (TEVAR). This study analyzed management and outcomes in patients with concomitant TBI/BTAI.
METHODS: Patients with concomitant TBI/BTAI and BTAI were identified in our trauma registry. Descriptive statistics and logistic regression compared management and outcomes.
RESULTS: Twenty patients had concomitant TBI/BTAI. 46 patients had BTAI alone. 9(13%) patients with concomitant TBI/BTAI and 30(45%) patients with BTAI alone underwent TEVAR. There was no difference in overall mortality (OR 0.29, 0.05-1.55 CI, p = 0.12), aortic-related mortality (x2 3.51, p = 0.06), incidence of TEVAR (x2 1.59, p = 0.10) or timing to TEVAR (t = -1.6056, p = 0.06) between patients with concomitant TBI/BTAI and BTAI alone.
CONCLUSION: There was no difference in outcomes or interventions in patients with TBI/BTA vs BTAI alone in this small, hypothesis-generating single institutional trial.
METHODS: Patients with concomitant TBI/BTAI and BTAI were identified in our trauma registry. Descriptive statistics and logistic regression compared management and outcomes.
RESULTS: Twenty patients had concomitant TBI/BTAI. 46 patients had BTAI alone. 9(13%) patients with concomitant TBI/BTAI and 30(45%) patients with BTAI alone underwent TEVAR. There was no difference in overall mortality (OR 0.29, 0.05-1.55 CI, p = 0.12), aortic-related mortality (x2 3.51, p = 0.06), incidence of TEVAR (x2 1.59, p = 0.10) or timing to TEVAR (t = -1.6056, p = 0.06) between patients with concomitant TBI/BTAI and BTAI alone.
CONCLUSION: There was no difference in outcomes or interventions in patients with TBI/BTA vs BTAI alone in this small, hypothesis-generating single institutional trial.