التفاصيل البيبلوغرافية
| العنوان: |
Identifying Survivors With Traumatic Craniocervical Dissociation: A Retrospective Study |
| المؤلفون: |
Cooper, Zara1 zcooper@partners.org, Gross, Joel A.2, Lacey, J. Matthew3, Traven, Neal4, Mirza, Sohail K.5, Arbabi, Saman6 |
| المصدر: |
Journal of Surgical Research. May2010, Vol. 160 Issue 1, p3-8. 6p. |
| مصطلحات موضوعية: |
*TRAUMATISM, *MEDICAL radiography, *RETROSPECTIVE studies, *HOSPITAL admission & discharge, *TOMOGRAPHY, *MORTALITY, *SEVERITY of illness index, *MEDICAL centers |
| مستخلص: |
Background: Traumatic craniocervical dissociation (CCD), which includes atlanto-occipital dissociation and vertical distraction between C1-C2, is often an immediately fatal injury that has increasingly been associated with survival to the hospital. Our aim was to identify survivors of CCD based on clinical presentation. Methods: We retrospectively reviewed the Harborview Medical Center Trauma Registry and the King County Medical Examiners database from 2001 to 2006. Patients≥12 y old were identified by ICD-9 code, radiographic diagnosis on lateral cervical spine films, and CT. We examined age, gender, mechanism of injury, presentation and prehospital and hospital interventions, and radiographic findings to distinguish survivors and non-survivors. Results: Of 69 patients with CCD, 47 were diagnosed post mortem, 22 were diagnosed in hospital, and seven survived to discharge. When comparing survivors and non-survivors, age, gender, and injury severity score were not significant. Survivors had significantly higher GCS, and were more likely to be normotensive; none had cervical cord injury; 80% of non-survivors had a basion-dental interval (BDI) of ≥16mm. Conclusions: Trauma patients diagnosed with CCD in the ED, with cervical cord injury, requiring CPR, and with GCS of 3 will not survive their injury. Wider BDI is associated with mortality. [Copyright &y& Elsevier] |
| قاعدة البيانات: |
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