Traumatic aortic injury score (TRAINS): An easy and simple score for early detection of traumatic aortic injuries in major trauma patients with associated blunt chest trauma

Intensive Care Medicine

Volumn 38, Issue 9, 2012, Pages 1487-1496

  Mosquera, Victor X ^a   Marini, Milagros ^a   Muñiz, Javier ^a   Asorey Veiga, Vanesa ^b   Adrio Nazar, Belen ^c   Boix, Ricardo ^d   Lopez Perez, José M ^a   Pradas Montilla, Gonzalo ^b   Cuenca, José J ^a  

^a UNIVERSITY OF A CORUÑA   (Spain)

^b UNIVERSITY HOSPITAL COMPLEX OF VIGO   (Spain)

^c HOSPITAL CLÍNICO UNIVERSITARIO   (Spain)

^d UNIVERSITY OF VALENCIA   (Spain)

Author keywords

Acute aortic syndrome; Aorta; Imaging; Risk prediction; Trauma

Indexed keywords

ACUTE DISEASE; ACUTE TRAUMATIC AORTIC INJURY; ADULT; AORTA INJURY; ARTICLE; CONTROLLED STUDY; DISEASE ASSOCIATION; DISEASE CLASSIFICATION; FEMALE; FRACTURE; HEMATOTHORAX; HUMAN; HYPOTENSION; LEFT SCAPULA FRACTURE; LUNG INJURY; MAJOR CLINICAL STUDY; MALE; MEDIASTINUM; PELVIS FRACTURE; PREDICTION; PULMONARY CONTUSION; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; THORAX BLUNT TRAUMA; TRAUMATIC AORTIC INJURY SCORE;

ADULT; ANALYSIS OF VARIANCE; AORTA; AORTIC DISEASES; FEMALE; HUMANS; INJURY SEVERITY SCORE; MALE; PREDICTIVE VALUE OF TESTS; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; THORACIC INJURIES; TIME FACTORS; WOUNDS AND INJURIES; WOUNDS, NONPENETRATING;

EID: 84866735351     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-012-2596-y     Document Type: Article

References (39)

1. Smith RS, Chang FC (1986) Traumatic rupture of the aorta: still a lethal injury. Am J Surg 152:660-663
2. Steenburg SD, Ravenel JG (2008) Acute traumatic thoracic aortic injuries: experience with 64-MDCT. Am J Roentgenol 191:1564-1569
3. Fabian TC, Davis KA, Gavant ML, Croce MA, Melton SM, Patton JH Jr, Haan CK, Weiman DS, Pate JW (1998) Prospective study of blunt aortic injury: helical CT is diagnostic and antihypertensive therapy reduces rupture. Ann Surg 227:666-676 discussion 676-667
4. Tsai TT, Nienaber CA, Eagle KA (2005) Acute aortic syndromes. Circulation 112:3802-3813
5. Demetriades D, Velmahos GC, Scalea TM, Jurkovich GJ, Karmy-Jones R, Teixeira PG, Hemmila MR, O'Connor JV, McKenney MO, Moore FO, London J, Singh MJ, Lineen E, Spaniolas K, Keel M, Sugrue M, Wahl WL, Hill J, Wall MJ, Moore EE, Margulies D, Malka V, Chan LS (2008) Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma multicenter study. J Trauma 64:561-570, discussion 570-561
6. Demetriades D, Velmahos GC, Scalea TM, Jurkovich GJ, Karmy-Jones R, Teixeira PG, Hemmila MR, O'Connor JV, McKenney MO, Moore FO, London J, Singh MJ, Spaniolas K, Keel M, Sugrue M, Wahl WL, Hill J, Wall MJ, Moore EE, Lineen E, Margulies D, Malka V, Chan LS (2009) Blunt traumatic thoracic aortic injuries: early or delayed repair-results of an American Association for the Surgery of Trauma prospective study. J Trauma 66:967-973
7. Mosquera VX, Marini M, Lopez-Perez JM, Muniz-Garcia J, Herrera JM, Cao I, Cuenca JJ (2011) Role of conservative management in traumatic aortic injury: comparison of long-term results of conservative, surgical, and endovascular treatment. J Thorac Cardiovasc Surg 142:614-621
8. Mirvis SE, Shanmuganathan K (2007) Diagnosis of blunt traumatic aortic injury 2007: still a nemesis. Eur J Radiol 64:27-40
9. Baker SP, O'Neill B, Haddon W Jr, Long WB (1974) The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 14:187-196
10. Soreide K (2009) Epidemiology of major trauma. Br J Surg 96:697-698
11. Champion HR, Sacco WJ, Copes WS, Gann DS, Gennarelli TA, Flanagan ME (1989) A revision of the Trauma Score. J Trauma 29:623-629
12. Champion HR, Sacco WJ, Copes WS (1995) Injury severity scoring again. J Trauma 38:94-95
13. Lee WA, Matsumura JS, Mitchell RS, Farber MA, Greenberg RK, Azizzadeh A, Murad MH, Fairman RM (2011) Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery. J Vasc Surg 53(1):187-192
14. Marnocha KE, Maglinte DD, Woods J, Goodman M, Peterson P (1984) Mediastinal-width/chest-width ratio in blunt chest trauma: a reappraisal. Am J Roentgenol 142:275-277
15. Woodring JH, Dillon ML (1984) Radiographic manifestations of mediastinal haemorrhage from blunt chest trauma. Ann Thorac Surg 37:171-178
16. Fabian TC, Richardson JD, Croce MA, Smith JS Jr, Rodman G Jr, Kearney PA, Flynn W, Ney AL, Cone JB, Luchette FA, Wisner DH, Scholten DJ, Beaver BL, Conn AK, Coscia R, Hoyt DB, Morris JA Jr, Harviel JD, Peitzman AB, Bynoe RP, Diamond DL, Wall M, Gates JD, Asensio JA, Enderson BL et al (1997) Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. J Trauma 42:374-380, discussion 380-373
17. Cook AD, Klein JS, Rogers FB, Osler TM, Shackford SR (2001) Chest radiographs of limited utility in the diagnosis of blunt traumatic aortic laceration. J Trauma 50:843-847
18. Mowery NT, Gunter OL, Collier BR, Diaz JJ Jr, Haut E, Hildreth A, Holevar M, Mayberry J, Streib E (2011) Practice management guidelines for management of hemothorax and occult pneumothorax. J Trauma 70:510-518
19. Cohn SM, Dubose JJ (2010) Pulmonary contusion: an update on recent advances in clinical management. World J Surg 34:1959-1970
20. Lee C, Porter K (2007) The pre-hospital management of pelvic fractures. Emerg Med J 24:130-133
21. Cole PA (2002) Scapula fractures. Orthop Clin North Am 33:1-18 vii
22. De Long ER, De Long DM, Clarke-Pearson DL (1988) Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 44:837-845
23. Fluss R, Faraggi D, Reiser B (2005) Estimation of the Youden index and its associated cut-off point. Biom J 47:458-472
24. Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, Lijmer JG, Moher D, Rennie D, de Vet HC (2003) Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ 326:41-44
25. Wong YC, Ng CJ, Wang LJ, Hsu KH, Chen CJ (2004) Left mediastinal width and mediastinal width ratio are better radiographic criteria than general mediastinal width for predicting blunt aortic injury. J Trauma 57:88-94
26. Mirvis SE, Bidwell JK, Buddemeyer EU, Diaconis JN, Pais SO, Whitley JE (1987) Imaging diagnosis of traumatic aortic rupture. A review and experience at a major trauma center. Invest Radiol 22:187-196
27. Woodring JH (1990) The normal mediastinum in blunt traumatic rupture of the thoracic aorta and brachiocephalic arteries. J Emerg Med 8:467-476
28. Laupacis A, Sekar N, Stiell IG (1997) Clinical prediction rules. A review and suggested modifications of methodological standards. JAMA 277:488-494
29. Smith MD, Cassidy JM, Souther S, Morris EJ, Sapin PM, Johnson SB, Kearney PA (1995) Trans-esophageal echocardiography in the diagnosis of traumatic rupture of the aorta. N Engl J Med 332:356-362
30. Catoire P, Orliaguet G, Liu N, Delaunay L, Guerrini P, Beydon L, Bonnet F (1995) Systematic transesophageal echocardiography for detection of mediastinal lesions in patients with multiple injuries. J Trauma 38:96-102
31. Berger FH, van Lienden KP, Smithuis R, Nicolaou S, van Delden OM (2010) Acute aortic syndrome and blunt traumatic aortic injury: pictorial review of MDCT imaging. Eur J Radiol 74:24-39
32. Xirouchaki N, Magkanas E, Vaporidi K, Kondili E, Plataki M, Patrianakos A, Akoumianaki E, Georgopoulos D (2011) Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive Care Med 37:1488-1493
33. Malhotra AK, Fabian TC, Croce MA, Weiman DS, Gavant ML, Pate JW (2001) Minimal aortic injury: a lesion associated with advancing diagnostic techniques. J Trauma 51:1042-1048
34. Kepros J, Angood P, Jaffe CC, Rabinovici R (2002) Aortic intimal injuries from blunt trauma: resolution profile in nonoperative management. J Trauma 52:475-478
35. Cook J, Salerno C, Krishnadasan B, Nicholls S, Meissner M, Karmy-Jones R (2006) The effect of changing presentation and management on the outcome of blunt rupture of the thoracic aorta. J Thorac Cardiovasc Surg 131:594-600
36. Burkhart HM, Gomez GA, Jacobson LE, Pless JE, Broadie TA (2001) Fatal blunt aortic injuries: a review of 242 autopsy cases. J Trauma 50:113-115
37. Teixeira PG, Inaba K, Barmparas G, Georgiou C, Toms C, Noguchi TT, Rogers C, Sathyavagiswaran L, Demetriades D (2011) Blunt thoracic aortic injuries: an autopsy study. J Trauma 70:197-202
38. Blackmore CC, Zweibel A, Mann FA (2000) Determining risk of traumatic aortic injury: how to optimize imaging strategy. Am J Roentgenol 174:343-347
39. Kirkham JR, Blackmore CC (2007) Screening for aortic injury with chest radiography and clinical factors. Emerg Radiol 14:211-217