A new aortic injury score predicts early rupture more accurately than clinical assessment Donald G. Harris, MD, Joseph Rabin, MD, Joseph A. Kufera, MA,

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Presentation transcript:

A new aortic injury score predicts early rupture more accurately than clinical assessment Donald G. Harris, MD, Joseph Rabin, MD, Joseph A. Kufera, MA, Bradley S. Taylor, MD, MPH, Rajabrata Sarkar, MD, PhD, James V. O'Connor, MD, Thomas M. Scalea, MD, Robert S. Crawford, MD Journal of Vascular Surgery Volume 61, Issue 2, Pages 332-338 (February 2015) DOI: 10.1016/j.jvs.2014.08.007 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Radiographic factors included in the risk model were (A) blunt traumatic aortic injury (BTAI) lesion maximal width, (B) normal aortic diameter, and (C) width of the dependent mediastinal hematoma along the descending thoracic aorta. Journal of Vascular Surgery 2015 61, 332-338DOI: (10.1016/j.jvs.2014.08.007) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Aggregate score point distributions for the rupture and stable groups. The average scores are 6 ± 1 for rupture group and 2 ± 2 points for the stable group. A cutoff of ≥4 points was 100% sensitive, 84% specific, and 100% accurate for identifying lesions that were at high risk for aortic rupture. Journal of Vascular Surgery 2015 61, 332-338DOI: (10.1016/j.jvs.2014.08.007) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Receiver operating characteristic curve of the final model. *Represents the test-positive threshold (≥4 points). Journal of Vascular Surgery 2015 61, 332-338DOI: (10.1016/j.jvs.2014.08.007) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Operational aortic injury risk score. Journal of Vascular Surgery 2015 61, 332-338DOI: (10.1016/j.jvs.2014.08.007) Copyright © 2015 Society for Vascular Surgery Terms and Conditions