Truncal vascular injury—factors influencing survival

Kenneth R. Sirinek, Harold V. Gaskill, Harlan D. Root, Barry A. Levine

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

During the 10-year period ending June 1982, 219 patients were treated for 269 injuries to the major vessels of the abdominal and thoracic cavities, with 28% morbidity and 32% mortality. One hundred eighty patients (82%) had 377 associated injuries consisting primarily of damage to the small intestine (79), liver (45), and large intestine (34). Factors associated with an increased mortality included: more than three associated injuries; two or more nonvascular complications; more than two vessels injured; admission to ER in shock; injury to abdominal aorta or inferior vena cava; and injury to the porta hepatis. The majority of deaths (73%) were due to acute blood loss and irreversible shock. Factors unrelated to acute blood loss and shock had minimal effects on survival.

Original languageEnglish (US)
Pages (from-to)372-377
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume23
Issue number5
DOIs
StatePublished - May 1983

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'Truncal vascular injury—factors influencing survival'. Together they form a unique fingerprint.

  • Cite this