Toward Reduction of Post–Hospital Admission Death Rate Caused by Acute Traumatic Aortic Tear
Abstract Background Terminology and classifications are the vehicles by which pathologic conditions are identified and understood. It is critically important for the patient admitted with suspected blunt thoracic aortic injury that admitting physicians have a thorough knowledge of acute traumatic ao...
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description | Abstract Background Terminology and classifications are the vehicles by which pathologic conditions are identified and understood. It is critically important for the patient admitted with suspected blunt thoracic aortic injury that admitting physicians have a thorough knowledge of acute traumatic aortic tear and its natural history. Objectives The objectives of this review were as follows: (1) to introduce a pathology-based terminology and classification of acute traumatic aortic injuries that unambiguously defines each, and (2) to emphasize the clinical relevance of acute traumatic tear to post–hospital admission deaths in blunt thoracoabdominally injured patients. Methods This is a literature review of 32 refereed articles pertaining to acute traumatic thoracic aortic injury published from 1957 to the present. Results The terminology used to describe aortic injury is inconsistent. Several terms are often loosely interchanged: tear, laceration, transection, and rupture. Furthermore, classifications of aortic injuries have been proposed based on microscopic or gross pathologic or computed tomography scan results. While microscopically-based classifications have little or no clinical application, a classification based on gross pathology provides information useful for aortic injury prognosis and management. Conclusion Reduction of post-hospital death caused by acute aortic tear requires knowledge and understanding of the pathology of acute traumatic aortic tear and its natural history. Such understanding of pathology of acute traumatic aortic tear and its natural history is enhanced by terminology that defines the aortic injury. Therefore, we present our proposed terminology and classification of acute traumatic injuries. |
doi_str_mv | 10.1016/j.jemermed.2016.03.036 |
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It is critically important for the patient admitted with suspected blunt thoracic aortic injury that admitting physicians have a thorough knowledge of acute traumatic aortic tear and its natural history. Objectives The objectives of this review were as follows: (1) to introduce a pathology-based terminology and classification of acute traumatic aortic injuries that unambiguously defines each, and (2) to emphasize the clinical relevance of acute traumatic tear to post–hospital admission deaths in blunt thoracoabdominally injured patients. Methods This is a literature review of 32 refereed articles pertaining to acute traumatic thoracic aortic injury published from 1957 to the present. Results The terminology used to describe aortic injury is inconsistent. Several terms are often loosely interchanged: tear, laceration, transection, and rupture. Furthermore, classifications of aortic injuries have been proposed based on microscopic or gross pathologic or computed tomography scan results. While microscopically-based classifications have little or no clinical application, a classification based on gross pathology provides information useful for aortic injury prognosis and management. Conclusion Reduction of post-hospital death caused by acute aortic tear requires knowledge and understanding of the pathology of acute traumatic aortic tear and its natural history. Such understanding of pathology of acute traumatic aortic tear and its natural history is enhanced by terminology that defines the aortic injury. Therefore, we present our proposed terminology and classification of acute traumatic injuries.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/j.jemermed.2016.03.036</identifier><identifier>PMID: 27156490</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>acute traumatic rupture ; acute traumatic tear ; Aorta - injuries ; aortic injury ; Aortic Rupture - classification ; Aortic Rupture - mortality ; Aortic Rupture - pathology ; blunt trauma postadmission hospital death ; Computed Tomography Angiography ; Emergency ; Hospital Mortality ; Humans ; minimal aortic injury ; Terminology as Topic</subject><ispartof>The Journal of emergency medicine, 2016-08, Vol.51 (2), p.114-119</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-2c68236dd09ad049b8b0e672436addf849bc219d3dd3d22f2698f6c11f73febc3</citedby><cites>FETCH-LOGICAL-c423t-2c68236dd09ad049b8b0e672436addf849bc219d3dd3d22f2698f6c11f73febc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jemermed.2016.03.036$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27156490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bilow, Ronald M., MD</creatorcontrib><creatorcontrib>Shanmuganathan, Kathirkamanathan, MD</creatorcontrib><creatorcontrib>Harris, John H., MD, DSc</creatorcontrib><title>Toward Reduction of Post–Hospital Admission Death Rate Caused by Acute Traumatic Aortic Tear</title><title>The Journal of emergency medicine</title><addtitle>J Emerg Med</addtitle><description>Abstract Background Terminology and classifications are the vehicles by which pathologic conditions are identified and understood. It is critically important for the patient admitted with suspected blunt thoracic aortic injury that admitting physicians have a thorough knowledge of acute traumatic aortic tear and its natural history. Objectives The objectives of this review were as follows: (1) to introduce a pathology-based terminology and classification of acute traumatic aortic injuries that unambiguously defines each, and (2) to emphasize the clinical relevance of acute traumatic tear to post–hospital admission deaths in blunt thoracoabdominally injured patients. Methods This is a literature review of 32 refereed articles pertaining to acute traumatic thoracic aortic injury published from 1957 to the present. Results The terminology used to describe aortic injury is inconsistent. Several terms are often loosely interchanged: tear, laceration, transection, and rupture. Furthermore, classifications of aortic injuries have been proposed based on microscopic or gross pathologic or computed tomography scan results. While microscopically-based classifications have little or no clinical application, a classification based on gross pathology provides information useful for aortic injury prognosis and management. Conclusion Reduction of post-hospital death caused by acute aortic tear requires knowledge and understanding of the pathology of acute traumatic aortic tear and its natural history. Such understanding of pathology of acute traumatic aortic tear and its natural history is enhanced by terminology that defines the aortic injury. Therefore, we present our proposed terminology and classification of acute traumatic injuries.</description><subject>acute traumatic rupture</subject><subject>acute traumatic tear</subject><subject>Aorta - injuries</subject><subject>aortic injury</subject><subject>Aortic Rupture - classification</subject><subject>Aortic Rupture - mortality</subject><subject>Aortic Rupture - pathology</subject><subject>blunt trauma postadmission hospital death</subject><subject>Computed Tomography Angiography</subject><subject>Emergency</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>minimal aortic injury</subject><subject>Terminology as Topic</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUc1u1DAQthCIblteofKRS7b-yTrOpWK10BapEqhdrliOPRFOk3ixHdDeeAfesE9SR9u9cEH6pNHMfPP3DUIXlCwpoeKyW3YwQBjALln2l4RniFdowfiKFSvC6tdoQSouilJU9Qk6jbEjhFZE0rfohFV0JcqaLND3rf-tg8X3YCeTnB-xb_FXH9PTn7-3Pu5c0j1e28HFOCc_gk4_8L1OgDd6imBxs8drM2V_G_Q06OQMXvswmy3ocI7etLqP8O7FnqFv15-2m9vi7svN5836rjAl46lgRkjGhbWk1paUdSMbAqJiJRfa2lbmiGG0ttxmMNYyUctWGErbirfQGH6G3h_67oL_OUFMKm9soO_1CH6KikoqRSWF5JkqDlQTfIwBWrULbtBhryhRs7aqU0dt1aytIjxD5MKLlxlTM-eOZUcxM-HDgQD50l8OgorGwWjAugAmKevd_2dc_dPC9G50RvePsIfY-SmMWUdFVWSKqIf5w_ODqeCEcLniz4eApAQ</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Bilow, Ronald M., MD</creator><creator>Shanmuganathan, Kathirkamanathan, MD</creator><creator>Harris, John H., MD, DSc</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Toward Reduction of Post–Hospital Admission Death Rate Caused by Acute Traumatic Aortic Tear</title><author>Bilow, Ronald M., MD ; Shanmuganathan, Kathirkamanathan, MD ; Harris, John H., MD, DSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-2c68236dd09ad049b8b0e672436addf849bc219d3dd3d22f2698f6c11f73febc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>acute traumatic rupture</topic><topic>acute traumatic tear</topic><topic>Aorta - injuries</topic><topic>aortic injury</topic><topic>Aortic Rupture - classification</topic><topic>Aortic Rupture - mortality</topic><topic>Aortic Rupture - pathology</topic><topic>blunt trauma postadmission hospital death</topic><topic>Computed Tomography Angiography</topic><topic>Emergency</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>minimal aortic injury</topic><topic>Terminology as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bilow, Ronald M., MD</creatorcontrib><creatorcontrib>Shanmuganathan, Kathirkamanathan, MD</creatorcontrib><creatorcontrib>Harris, John H., MD, DSc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bilow, Ronald M., MD</au><au>Shanmuganathan, Kathirkamanathan, MD</au><au>Harris, John H., MD, DSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Toward Reduction of Post–Hospital Admission Death Rate Caused by Acute Traumatic Aortic Tear</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>51</volume><issue>2</issue><spage>114</spage><epage>119</epage><pages>114-119</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><abstract>Abstract Background Terminology and classifications are the vehicles by which pathologic conditions are identified and understood. It is critically important for the patient admitted with suspected blunt thoracic aortic injury that admitting physicians have a thorough knowledge of acute traumatic aortic tear and its natural history. Objectives The objectives of this review were as follows: (1) to introduce a pathology-based terminology and classification of acute traumatic aortic injuries that unambiguously defines each, and (2) to emphasize the clinical relevance of acute traumatic tear to post–hospital admission deaths in blunt thoracoabdominally injured patients. Methods This is a literature review of 32 refereed articles pertaining to acute traumatic thoracic aortic injury published from 1957 to the present. Results The terminology used to describe aortic injury is inconsistent. Several terms are often loosely interchanged: tear, laceration, transection, and rupture. Furthermore, classifications of aortic injuries have been proposed based on microscopic or gross pathologic or computed tomography scan results. While microscopically-based classifications have little or no clinical application, a classification based on gross pathology provides information useful for aortic injury prognosis and management. Conclusion Reduction of post-hospital death caused by acute aortic tear requires knowledge and understanding of the pathology of acute traumatic aortic tear and its natural history. Such understanding of pathology of acute traumatic aortic tear and its natural history is enhanced by terminology that defines the aortic injury. Therefore, we present our proposed terminology and classification of acute traumatic injuries.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27156490</pmid><doi>10.1016/j.jemermed.2016.03.036</doi><tpages>6</tpages></addata></record> |
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subjects | acute traumatic rupture acute traumatic tear Aorta - injuries aortic injury Aortic Rupture - classification Aortic Rupture - mortality Aortic Rupture - pathology blunt trauma postadmission hospital death Computed Tomography Angiography Emergency Hospital Mortality Humans minimal aortic injury Terminology as Topic |
title | Toward Reduction of Post–Hospital Admission Death Rate Caused by Acute Traumatic Aortic Tear |
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