Risk Factors for Survival Following Surgical Treatment of Traumatic Aortic Rupture
Linear discriminate analysis was used to determine the effects of age and Injury Severity Score on survival in 37 consecutive patients treated surgically for traumatic rupture of the thoracic aorta. Pearson product moment correlations were calculated between associated injuries and survival. The age...
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Veröffentlicht in: | The Annals of thoracic surgery 1985-05, Vol.39 (5), p.418-421 |
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container_title | The Annals of thoracic surgery |
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creator | Sturm, James T. Billiar, Timothy R. Dorsey, James S. Luxenberg, Michael G. Perry, John F. |
description | Linear discriminate analysis was used to determine the effects of age and Injury Severity Score on survival in 37 consecutive patients treated surgically for traumatic rupture of the thoracic aorta. Pearson product moment correlations were calculated between associated injuries and survival. The age of the injured patients was the only variable that correlated statistically with survival: the lower the patient's age, the greater the chance of survival (
r = 0.3535;
p = 0.016). The severity of the injury, as represented by the Injury Severity Score, showed a tendency toward decreased survival with increasing Injury Severity Score (
r = −0.2523;
p = 0.066). Specific types of associated injuries did not correlate with survival. Survival rates were not statistically different for patients who underwent cardiopulmonary bypass compared with those in whom a temporary plastic shunt was used (chi-square = 1.72;
p = 0.19). We conclude that age is the most significant factor in predicting survival in patients who undergo surgical repair of traumatic aortic rupture. |
doi_str_mv | 10.1016/S0003-4975(10)61947-9 |
format | Article |
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r = 0.3535;
p = 0.016). The severity of the injury, as represented by the Injury Severity Score, showed a tendency toward decreased survival with increasing Injury Severity Score (
r = −0.2523;
p = 0.066). Specific types of associated injuries did not correlate with survival. Survival rates were not statistically different for patients who underwent cardiopulmonary bypass compared with those in whom a temporary plastic shunt was used (chi-square = 1.72;
p = 0.19). We conclude that age is the most significant factor in predicting survival in patients who undergo surgical repair of traumatic aortic rupture.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)61947-9</identifier><identifier>PMID: 3994441</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aorta, Thoracic - injuries ; Aorta, Thoracic - surgery ; Aortic Rupture - mortality ; Aortic Rupture - surgery ; Biological and medical sciences ; Child ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Risk ; Statistics as Topic ; Traumas. Diseases due to physical agents ; Vascular injuries: limbs, aorta, vena cava ; Wounds, Nonpenetrating - mortality ; Wounds, Nonpenetrating - surgery</subject><ispartof>The Annals of thoracic surgery, 1985-05, Vol.39 (5), p.418-421</ispartof><rights>1985 The Society of Thoracic Surgeons</rights><rights>1985 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-69408635a3744f41b2f4467b8372c592bd7beda96a8d38837ad2b7578e5b153a3</citedby><cites>FETCH-LOGICAL-c424t-69408635a3744f41b2f4467b8372c592bd7beda96a8d38837ad2b7578e5b153a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9124926$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3994441$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sturm, James T.</creatorcontrib><creatorcontrib>Billiar, Timothy R.</creatorcontrib><creatorcontrib>Dorsey, James S.</creatorcontrib><creatorcontrib>Luxenberg, Michael G.</creatorcontrib><creatorcontrib>Perry, John F.</creatorcontrib><title>Risk Factors for Survival Following Surgical Treatment of Traumatic Aortic Rupture</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Linear discriminate analysis was used to determine the effects of age and Injury Severity Score on survival in 37 consecutive patients treated surgically for traumatic rupture of the thoracic aorta. Pearson product moment correlations were calculated between associated injuries and survival. The age of the injured patients was the only variable that correlated statistically with survival: the lower the patient's age, the greater the chance of survival (
r = 0.3535;
p = 0.016). The severity of the injury, as represented by the Injury Severity Score, showed a tendency toward decreased survival with increasing Injury Severity Score (
r = −0.2523;
p = 0.066). Specific types of associated injuries did not correlate with survival. Survival rates were not statistically different for patients who underwent cardiopulmonary bypass compared with those in whom a temporary plastic shunt was used (chi-square = 1.72;
p = 0.19). We conclude that age is the most significant factor in predicting survival in patients who undergo surgical repair of traumatic aortic rupture.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aorta, Thoracic - injuries</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortic Rupture - mortality</subject><subject>Aortic Rupture - surgery</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Risk</subject><subject>Statistics as Topic</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vascular injuries: limbs, aorta, vena cava</subject><subject>Wounds, Nonpenetrating - mortality</subject><subject>Wounds, Nonpenetrating - surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMoun78BKEHET1U853mJIu4KgjCrp5DmqYSbZs1aVf896a7y149DfPOM5nwAHCO4A2CiN8uIIQkp1KwKwSvOZJU5HIPTBBjOOeYyX0w2SFH4DjGz9TiND4Eh0RKSimagPncxa9spk3vQ8xqH7LFEFZupZts5pvG_7juY4w-nEnRW7C6b23XZ75OjR5a3TuTTX0Yy3xY9kOwp-Cg1k20Z9t6At5nD2_3T_nL6-Pz_fQlNxTTPueSwoITpomgtKaoxDWlXJQFEdgwictKlLbSkuuiIkVKdYVLwURhWYkY0eQEXG7eXQb_PdjYq9ZFY5tGd9YPUQkOpSQEJ5BtQBN8jMHWahlcq8OvQlCNLtXapRpFjdHapZJp73x7YChbW-22tvLS_GI71zHZqYPujIs7TCJMJeYJu9tgNslYORtUNM52xlYuWNOryrt_PvIHe36PuQ</recordid><startdate>198505</startdate><enddate>198505</enddate><creator>Sturm, James T.</creator><creator>Billiar, Timothy R.</creator><creator>Dorsey, James S.</creator><creator>Luxenberg, Michael G.</creator><creator>Perry, John F.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><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>198505</creationdate><title>Risk Factors for Survival Following Surgical Treatment of Traumatic Aortic Rupture</title><author>Sturm, James T. ; Billiar, Timothy R. ; Dorsey, James S. ; Luxenberg, Michael G. ; Perry, John F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-69408635a3744f41b2f4467b8372c592bd7beda96a8d38837ad2b7578e5b153a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aorta, Thoracic - injuries</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortic Rupture - mortality</topic><topic>Aortic Rupture - surgery</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Risk</topic><topic>Statistics as Topic</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vascular injuries: limbs, aorta, vena cava</topic><topic>Wounds, Nonpenetrating - mortality</topic><topic>Wounds, Nonpenetrating - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sturm, James T.</creatorcontrib><creatorcontrib>Billiar, Timothy R.</creatorcontrib><creatorcontrib>Dorsey, James S.</creatorcontrib><creatorcontrib>Luxenberg, Michael G.</creatorcontrib><creatorcontrib>Perry, John F.</creatorcontrib><collection>Pascal-Francis</collection><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 Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sturm, James T.</au><au>Billiar, Timothy R.</au><au>Dorsey, James S.</au><au>Luxenberg, Michael G.</au><au>Perry, John F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Survival Following Surgical Treatment of Traumatic Aortic Rupture</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1985-05</date><risdate>1985</risdate><volume>39</volume><issue>5</issue><spage>418</spage><epage>421</epage><pages>418-421</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Linear discriminate analysis was used to determine the effects of age and Injury Severity Score on survival in 37 consecutive patients treated surgically for traumatic rupture of the thoracic aorta. Pearson product moment correlations were calculated between associated injuries and survival. The age of the injured patients was the only variable that correlated statistically with survival: the lower the patient's age, the greater the chance of survival (
r = 0.3535;
p = 0.016). The severity of the injury, as represented by the Injury Severity Score, showed a tendency toward decreased survival with increasing Injury Severity Score (
r = −0.2523;
p = 0.066). Specific types of associated injuries did not correlate with survival. Survival rates were not statistically different for patients who underwent cardiopulmonary bypass compared with those in whom a temporary plastic shunt was used (chi-square = 1.72;
p = 0.19). We conclude that age is the most significant factor in predicting survival in patients who undergo surgical repair of traumatic aortic rupture.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3994441</pmid><doi>10.1016/S0003-4975(10)61947-9</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
subjects | Adolescent Adult Age Factors Aged Aorta, Thoracic - injuries Aorta, Thoracic - surgery Aortic Rupture - mortality Aortic Rupture - surgery Biological and medical sciences Child Female Humans Male Medical sciences Middle Aged Risk Statistics as Topic Traumas. Diseases due to physical agents Vascular injuries: limbs, aorta, vena cava Wounds, Nonpenetrating - mortality Wounds, Nonpenetrating - surgery |
title | Risk Factors for Survival Following Surgical Treatment of Traumatic Aortic Rupture |
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