Anatomic distribution and mortality of arterial injury in the wars in Afghanistan and Iraq with comparison to a civilian benchmark

Objective The purpose of this study was to examine the anatomic distribution and associated mortality of combat-related vascular injuries comparing them to a contemporary civilian standard. Design The Joint Trauma Theater Registry (JTTR) was queried to identify patients with major compressible arter...

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Veröffentlicht in:	Journal of vascular surgery 2012-09, Vol.56 (3), p.728-736
Hauptverfasser:	Markov, Nickolay P., MD, DuBose, Joseph J., MD, Scott, Daniel, MD, Propper, Brandon W., MD, Clouse, W. Darrin, MD, Thompson, Billy, MS, Blackbourne, Lorne H., MD, Rasmussen, Todd E., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Afghan Campaign 2001 Arteries - injuries Benchmarking Biological and medical sciences Blast Injuries - diagnosis Blast Injuries - mortality Blast Injuries - therapy Cause of Death Chi-Square Distribution Delivery of Health Care, Integrated Female Glasgow Coma Scale Humans Incidence Injury Severity Score Iraq War, 2003-2011 Male Medical sciences Military Medicine - standards Military Medicine - statistics & numerical data Odds Ratio Prognosis Propensity Score Registries Risk Assessment Risk Factors Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Traumas. Diseases due to physical agents United States Vascular injuries: limbs, aorta, vena cava Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Vascular System Injuries - diagnosis Vascular System Injuries - mortality Vascular System Injuries - therapy Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - mortality Wounds, Nonpenetrating - therapy Wounds, Penetrating - diagnosis Wounds, Penetrating - mortality Wounds, Penetrating - therapy Young Adult
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Beschreibung
Zusammenfassung:	Objective The purpose of this study was to examine the anatomic distribution and associated mortality of combat-related vascular injuries comparing them to a contemporary civilian standard. Design The Joint Trauma Theater Registry (JTTR) was queried to identify patients with major compressible arterial injury (CAI) and noncompressible arterial injury (NCAI) sites, and their outcomes, among casualties in Iraq and Afghanistan from 2003 to 2006. The National Trauma Data Bank (NTDB) was then queried over the same time frame to identify civilian trauma patients with similar arterial injuries. Propensity score-based matching was used to create matched patient cohorts from both populations for analysis. Results Registry queries identified 380 patients from the JTTR and 7020 patients from the NTDB who met inclusion criteria. Propensity score matching for age, elevated Injury Severity Score (ISS; >15), and hypotension on arrival (systolic blood pressure [SBP]
ISSN:	0741-5214 1097-6809
DOI:	10.1016/j.jvs.2012.02.048