TEVAR n=105 (no, %) | Surgical repair n=22 (no, %) | Hybrid repair n=49, (no, %) | Medical management n=251 (no, %) | All patients n=427 (no, %) | P value | |
External cause of injury (no, %)* | ||||||
Motor vehicle collision | 80 (76.2) | 14 (63.6) | 39 (79.6) | 182 (72.5) | 315 (73.8) | 0.47 |
Other transport collisions | 1–5† | 1–5† | 1–5† | 19 (7.6) | 29 (6.8) | 0.74 |
Person struck | 1–5† | 1–5† | 1–5† | 9 (3.6) | 15 (3.5) | 0.99 |
Fall from height | 13 (12.4) | 1–5† | 1–5† | 24 (9.6) | 42 (9.8) | 0.67 |
Other | 1–5† | 1–5† | 1–5† | 18 (7.2) | 28 (6.6) | 0.07 |
Injury Severity Score (median, IQR) | 34 (29–48) | 38 (29–45) | 38 (29–45) | 29 (20–36) | 30 (24–41) | <0.01 |
Associated injuries (no, %)* | ||||||
Skull fracture and/or traumatic brain injury | 45 (42.9) | 1–5† | 14–18† | 81 (32.3) | 145 (34.0) | 0.12 |
Cervical spine fracture and/or cervical spinal cord injury | 18 (17.1) | 1–5† | 2–6† | 37 (14.7) | 62 (14.5) | 0.46 |
Severe chest injury | 18 (17.1) | 9 (40.9) | 9 (18.4) | 24 (9.6) | 60 (14.1) | <0.01 |
Severe abdominal visceral injury | 29 (27.6) | 1–5† | 13–17† | 41 (16.3) | 88 (20.6) | 0.07 |
Open fracture of a long bone | 16 (15.2) | 1–5† | 10–14† | 22 (8.8) | 53 (12.4) | 0.02 |
Grade of aortic injury (no, %) | ||||||
Grade I: intimal tear | 37–41† | 1–5† | 12–16† | 88 (35.1) | 141 (33.0) | 0.03 |
Grade II: intramural hematoma | 14–18† | 1–5† | 8–12† | 10 (4.0) | 36 (8.4) | <0.01 |
Grade III: contained transection or pseudoaneurysm | 1–5† | 1–5† | 1–5† | 13 (5.2) | 23 (5.4) | 0.06 |
Grade IV: uncontained transection (rupture) | 32–36† | 10 (45.5) | 11–15† | 2–6† | 61 (14.3) | <0.01 |
Thoracic aortic injury not further specified | 1–5† | 0 (0.0) | 1–5† | 21 (8.4) | 27 (6.3) | 0.12 |
*Some patients had more than one mechanism of injury or more than one associated injury coded.
†Cells with less than six patients are suppressed to protect patient privacy.
TEVAR, thoracic endovascular aortic repair.