PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Long-Term Functional Outcomes after Blunt Cerebrovascular Injury: A 20-Year Experience.

Abstract Since blunt cerebrovascular injury (BCVI) became increasingly recognized more than 20 years ago, significant improvements have been made in both diagnosis and treatment. Little is known regarding long-term functional outcomes in BCVI. The purpose of this study was to evaluate the impact of BCVI on those long-term outcomes. All patients with BCVI from 1996 to 2014 were identified from the trauma registry. Functional outcome was measured using the Boston University Activity Measure for Post-Acute Care. Multiple regression analysis was performed to identify potential predictors of outcomes. A total of 509 patients were identified. Overall mortality was 18 per cent (BCVI-related = 1%). Of the 415 survivors, follow-up was obtained in 77 (19%). Mean follow-up was five years, with a maximum of 19 years. Mean age and injury severity score were 47 and 25, respectively. Six (8%) patients suffered strokes. Mean Activity Measure for Post-Acute Care scores were 59 (mobility), 58 (activity), and 44 (cognitive function), each indicating significant impairment compared with normal. Multiple regression models identified 1) age as a predictor of decreased mobility, 2) injury severity score as a predictor of decreased mobility, activity, and cognitive function, and 3) stroke as a predictor of decreased activity, cognitive function, and likely mobility. Development of stroke and increased injury severity resulted in worse long-term functional outcomes after BCVI. Thus, stroke prevention with optimal diagnostic and treatment algorithms remains critical in the successful treatment of BCVI because it has significant impact on long-term functional outcomes and is the only modifiable predictor of outcomes in patients after BCVI.
PMID
Related Publications

The clinical spectrum of blunt cerebrovascular injury.

Blunt cerebrovascular injury in children: underreported or underrecognized?: A multicenter ATOMAC study.

Blunt cerebrovascular injury following craniomaxillofacial fractures: A systematic review.

Impact of Continuous Evaluation of Technology and Therapy: 30 Years of Research Reduces Stroke and Mortality from Blunt Cerebrovascular Injury.

Functional outcomes following blunt cerebrovascular injury.

Authors

Mayor MeshTerms
Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 29712605
OWN - NLM
STAT- MEDLINE
DCOM- 20180509
LR  - 20180509
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 84
IP  - 4
DP  - 2018 Apr 1
TI  - Long-Term Functional Outcomes after Blunt Cerebrovascular Injury: A 20-Year
      Experience.
PG  - 551-556
AB  - Since blunt cerebrovascular injury (BCVI) became increasingly recognized more
      than 20 years ago, significant improvements have been made in both diagnosis and 
      treatment. Little is known regarding long-term functional outcomes in BCVI. The
      purpose of this study was to evaluate the impact of BCVI on those long-term
      outcomes. All patients with BCVI from 1996 to 2014 were identified from the
      trauma registry. Functional outcome was measured using the Boston University
      Activity Measure for Post-Acute Care. Multiple regression analysis was performed 
      to identify potential predictors of outcomes. A total of 509 patients were
      identified. Overall mortality was 18 per cent (BCVI-related = 1%). Of the 415
      survivors, follow-up was obtained in 77 (19%). Mean follow-up was five years,
      with a maximum of 19 years. Mean age and injury severity score were 47 and 25,
      respectively. Six (8%) patients suffered strokes. Mean Activity Measure for
      Post-Acute Care scores were 59 (mobility), 58 (activity), and 44 (cognitive
      function), each indicating significant impairment compared with normal. Multiple 
      regression models identified 1) age as a predictor of decreased mobility, 2)
      injury severity score as a predictor of decreased mobility, activity, and
      cognitive function, and 3) stroke as a predictor of decreased activity, cognitive
      function, and likely mobility. Development of stroke and increased injury
      severity resulted in worse long-term functional outcomes after BCVI. Thus, stroke
      prevention with optimal diagnostic and treatment algorithms remains critical in
      the successful treatment of BCVI because it has significant impact on long-term
      functional outcomes and is the only modifiable predictor of outcomes in patients 
      after BCVI.
FAU - Shahan, Charles P
AU  - Shahan CP
FAU - Stavely, Taylor C
AU  - Stavely TC
FAU - Croce, Martin A
AU  - Croce MA
FAU - Fabian, Timothy C
AU  - Fabian TC
FAU - Magnotti, Louis J
AU  - Magnotti LJ
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Cerebrovascular Trauma/complications/diagnosis/mortality/*physiopathology
MH  - Cognition
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Injury Severity Score
MH  - Male
MH  - Middle Aged
MH  - Mobility Limitation
MH  - Prognosis
MH  - Registries
MH  - Regression Analysis
MH  - Stroke/etiology
MH  - Tennessee/epidemiology
MH  - Wounds, Nonpenetrating/complications/diagnosis/mortality/*physiopathology
EDAT- 2018/05/02 06:00
MHDA- 2018/05/10 06:00
CRDT- 2018/05/02 06:00
PHST- 2018/05/02 06:00 [entrez]
PHST- 2018/05/02 06:00 [pubmed]
PHST- 2018/05/10 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2018 Apr 1;84(4):551-556.