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Ann Thorac Surg 1985;39:418-421
© 1985 The Society of Thoracic Surgeons

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Articles

Risk Factors for Survival Following Surgical Treatment of Traumatic Aortic Rupture

From the Departments of Surgery and Emergency Medicine, St. Paul-Ramsey Medical Center, St. Paul, and the University of Minnesota Health Science Center, Minneapolis, MN

Accepted for publication September 11, 1984.

^* Address reprint requests to Dr. Sturm, 640 Jackson St, St. Paul, MN 55101

Linear discriminate analysis was used to determine the effects of age and Injury Severity Score on survival in 37 consecutive patients treated surgically for traumatic rupture of the thoracic aorta. Pearson product moment correlations were calculated between associated injuries and survival. The age of the injured patients was the only variable that correlated statistically with survival: the lower the patient's age, the greater the chance of survival (r = 0.3535; p = 0.016). The severity of the injury, as represented by the Injury Severity Score, showed a tendency toward decreased survival with increasing Injury Severity Score (r = –0.2523; p = 0.066). Specific types of associated injuries did not correlate with survival. Survival rates were not statistically different for patients who underwent cardiopulmonary bypass compared with those in whom a temporary plastic shunt was used (chi-square = 1.72; p = 0.19). We conclude that age is the most significant factor in predicting survival in patients who undergo surgical repair of traumatic aortic rupture.

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