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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 1/2013

01-02-2013 | Original Article

Abdominal vascular trauma in 760 severely injured patients

Authors: M. Heuer, B. Hussmann, G. M. Kaiser, R. Lefering, A. Paul, S. Lendemans, The Trauma Registry of the DGU

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2013

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Abstract

Purpose

The relevance of abdominal vascular injuries in polytraumatic patients within a large collective has not yet been thoroughly analyzed. This study aimed at assessing the prevalence of traumatic injuries in relation to outcome and currently established treatment options.

Methods

51,425 patients from the Trauma Registry of the German Society of Trauma Surgery (TR DGU) (1993–2009) were analyzed retrospectively. All patients who had an Injury Severity Score (ISS) of ≥16, were directly admitted to a trauma center and subsequently received treatment for at least three days, were ≥16 years old, and had an abdominal injury (AISabdomen ≥2) were included. Patients with abdominal trauma (AISabdomen ≥2) were compared with patients with additional vascular trauma (AISvascular 2–5).

Results

10,530 (20.5 %) of the 51,425 patients had documented abdominal injury. 760 (7.2 %) of the patients with abdominal injury additionally showed abdominal vascular injury (AISabdomen ≥2, AISvascular 2–5) and were analyzed based on the classification of the American Association for the Surgery of Trauma (AAST) organ severity score (AAST vascular injury grade: II, 2.4 %; III, 2.7 %; IV, 1.8 %; V, 0.2 %. Patients with high-grade abdominal vascular injury (grades IV and V) showed a significant increase in mortality (IV, 44.6 %; V, 60 %) and consequently a decrease in the need for surgical intervention (IV, 67.4 %; V, 64 %).

Conclusions

The results presented here show the prevalence and outcome of abdominal vascular injuries in a large collective within the TR DGU for the first time. Based on the current literature and these findings, a treatment algorithm has been developed.
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Metadata
Title
Abdominal vascular trauma in 760 severely injured patients
Authors
M. Heuer
B. Hussmann
G. M. Kaiser
R. Lefering
A. Paul
S. Lendemans
The Trauma Registry of the DGU
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
European Journal of Trauma and Emergency Surgery / Issue 1/2013
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-012-0234-6

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