The epidemiology of thoracic aortic injuries in pedestrians

Susan I. Brundage, Richard Harruff, Gregory Jurkovich, Ronald V. Maier

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: Traumatic rupture of the thoracic aorta is recognized as a common cause of occupant death after rapid deceleration in motor vehicle collisions. The incidence of thoracic aorta rupture in pedestrian victims of vehicular collisions, however, is unknown. This study focuses on the epidemiology of injury to the thoracic aorta in pedestrian vehicular collisions. Methods: We performed a retrospective analysis of all pedestrian fatalities and survivors of rupture of the thoracic aorta during a 6-year period at a regional Level I trauma center and medical examiner's office. Results: There were 220 pedestrian fatalities during the study period. Laceration of the thoracic aorta was noted in 28 of the 220 pedestrian victims (12.7%). Two additional pedestrians survived laceration of the thoracic aorta, for a mortality of 94%. Hospital mortality was 66% (4 of 6). The comparative hospital mortality for patients with rupture of the thoracic aorta secondary to motor vehicle collision was 42%. Conclusion: The incidence of thoracic aortic injury in pedestrian fatalities of 12.7% is comparable with previous reports of motor vehicle collision fatalities. Because of the presence of increased associated injuries, pedestrians have a significantly higher mortality. Severely injured pedestrians are at a similar risk to motor vehicle occupants for a life-threatening injury of the thoracic aorta.

Original languageEnglish (US)
Pages (from-to)1010-1014
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume45
Issue number6
DOIs
StatePublished - Dec 1 1998
Externally publishedYes

Fingerprint

Thoracic Injuries
Thoracic Aorta
Epidemiology
Motor Vehicles
Rupture
Lacerations
Hospital Mortality
Wounds and Injuries
Pedestrians
Coroners and Medical Examiners
Deceleration
Mortality
Trauma Centers
Incidence
Survivors
Cause of Death

Keywords

  • Blunt trauma
  • Laceration
  • Pedestrian
  • Rupture
  • Thoracic aorta
  • Transection

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

The epidemiology of thoracic aortic injuries in pedestrians. / Brundage, Susan I.; Harruff, Richard; Jurkovich, Gregory; Maier, Ronald V.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 45, No. 6, 01.12.1998, p. 1010-1014.

Research output: Contribution to journalArticle

Brundage, Susan I. ; Harruff, Richard ; Jurkovich, Gregory ; Maier, Ronald V. / The epidemiology of thoracic aortic injuries in pedestrians. In: Journal of Trauma - Injury, Infection and Critical Care. 1998 ; Vol. 45, No. 6. pp. 1010-1014.
@article{d56dd043c0c148e3bfd6641309afeae3,
title = "The epidemiology of thoracic aortic injuries in pedestrians",
abstract = "Background: Traumatic rupture of the thoracic aorta is recognized as a common cause of occupant death after rapid deceleration in motor vehicle collisions. The incidence of thoracic aorta rupture in pedestrian victims of vehicular collisions, however, is unknown. This study focuses on the epidemiology of injury to the thoracic aorta in pedestrian vehicular collisions. Methods: We performed a retrospective analysis of all pedestrian fatalities and survivors of rupture of the thoracic aorta during a 6-year period at a regional Level I trauma center and medical examiner's office. Results: There were 220 pedestrian fatalities during the study period. Laceration of the thoracic aorta was noted in 28 of the 220 pedestrian victims (12.7{\%}). Two additional pedestrians survived laceration of the thoracic aorta, for a mortality of 94{\%}. Hospital mortality was 66{\%} (4 of 6). The comparative hospital mortality for patients with rupture of the thoracic aorta secondary to motor vehicle collision was 42{\%}. Conclusion: The incidence of thoracic aortic injury in pedestrian fatalities of 12.7{\%} is comparable with previous reports of motor vehicle collision fatalities. Because of the presence of increased associated injuries, pedestrians have a significantly higher mortality. Severely injured pedestrians are at a similar risk to motor vehicle occupants for a life-threatening injury of the thoracic aorta.",
keywords = "Blunt trauma, Laceration, Pedestrian, Rupture, Thoracic aorta, Transection",
author = "Brundage, {Susan I.} and Richard Harruff and Gregory Jurkovich and Maier, {Ronald V.}",
year = "1998",
month = "12",
day = "1",
doi = "10.1097/00005373-199812000-00007",
language = "English (US)",
volume = "45",
pages = "1010--1014",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - The epidemiology of thoracic aortic injuries in pedestrians

AU - Brundage, Susan I.

AU - Harruff, Richard

AU - Jurkovich, Gregory

AU - Maier, Ronald V.

PY - 1998/12/1

Y1 - 1998/12/1

N2 - Background: Traumatic rupture of the thoracic aorta is recognized as a common cause of occupant death after rapid deceleration in motor vehicle collisions. The incidence of thoracic aorta rupture in pedestrian victims of vehicular collisions, however, is unknown. This study focuses on the epidemiology of injury to the thoracic aorta in pedestrian vehicular collisions. Methods: We performed a retrospective analysis of all pedestrian fatalities and survivors of rupture of the thoracic aorta during a 6-year period at a regional Level I trauma center and medical examiner's office. Results: There were 220 pedestrian fatalities during the study period. Laceration of the thoracic aorta was noted in 28 of the 220 pedestrian victims (12.7%). Two additional pedestrians survived laceration of the thoracic aorta, for a mortality of 94%. Hospital mortality was 66% (4 of 6). The comparative hospital mortality for patients with rupture of the thoracic aorta secondary to motor vehicle collision was 42%. Conclusion: The incidence of thoracic aortic injury in pedestrian fatalities of 12.7% is comparable with previous reports of motor vehicle collision fatalities. Because of the presence of increased associated injuries, pedestrians have a significantly higher mortality. Severely injured pedestrians are at a similar risk to motor vehicle occupants for a life-threatening injury of the thoracic aorta.

AB - Background: Traumatic rupture of the thoracic aorta is recognized as a common cause of occupant death after rapid deceleration in motor vehicle collisions. The incidence of thoracic aorta rupture in pedestrian victims of vehicular collisions, however, is unknown. This study focuses on the epidemiology of injury to the thoracic aorta in pedestrian vehicular collisions. Methods: We performed a retrospective analysis of all pedestrian fatalities and survivors of rupture of the thoracic aorta during a 6-year period at a regional Level I trauma center and medical examiner's office. Results: There were 220 pedestrian fatalities during the study period. Laceration of the thoracic aorta was noted in 28 of the 220 pedestrian victims (12.7%). Two additional pedestrians survived laceration of the thoracic aorta, for a mortality of 94%. Hospital mortality was 66% (4 of 6). The comparative hospital mortality for patients with rupture of the thoracic aorta secondary to motor vehicle collision was 42%. Conclusion: The incidence of thoracic aortic injury in pedestrian fatalities of 12.7% is comparable with previous reports of motor vehicle collision fatalities. Because of the presence of increased associated injuries, pedestrians have a significantly higher mortality. Severely injured pedestrians are at a similar risk to motor vehicle occupants for a life-threatening injury of the thoracic aorta.

KW - Blunt trauma

KW - Laceration

KW - Pedestrian

KW - Rupture

KW - Thoracic aorta

KW - Transection

UR - http://www.scopus.com/inward/record.url?scp=0032411344&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032411344&partnerID=8YFLogxK

U2 - 10.1097/00005373-199812000-00007

DO - 10.1097/00005373-199812000-00007

M3 - Article

VL - 45

SP - 1010

EP - 1014

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 6

ER -