• Eur J Trauma Emerg Surg · Aug 2022

    Long-term outcome following blunt cerebrovascular injuries: occurrence of ischemic complications, treatment, and outcome.

    • Camille Hego, Guillaume Rousseau, Paer-Selim Abback, Romain Pommier, Sophie-Rym Hamada, Benjamin Bergis, Igor Jurcisin, Alhassane Diallo, Catherine Paugam-Burtz, Stéphanie Sigaut, Tobias Gauss, and Jean-Denis Moyer.
    • Department of Anesthesiology and Critical Care and Perioperative Care, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110, Clichy, France. camille.hego@aphp.fr.
    • Eur J Trauma Emerg Surg. 2022 Aug 1; 48 (4): 3131-3140.

    PurposeBlunt cerebrovascular injuries (BCVI) are a rare but serious complication after trauma. Among patients with BCVI, neurological status is altered in 30% of cases and the prognosis seems to be associated with ischemic complications. The aim of this study was to assess the long-term outcome of BCVI-associated ischemic events.MethodsThis retrospective cohort study (2011-2017) included all patients admitted for severe trauma with identified BCVI in two level-1 trauma centers. Patients were considered to have a poor neurological outcome with a GOS-E between 2 and 5 and a good neurological outcome with GOS-E between 6 and 8. A multivariate logistic regression identified risk factors for poor neurological outcome at 1 year.ResultsOf the 6,294 patients admitted in both trauma centers between 2011 and 2017, 81 patients presenting BCVI were identified (incidence of 1.3%). The median age was 35 years (24-44) with a median Injury Severity Score of 28 (17-41). 29 patients (50%) had a good neurological prognosis, while 25 patients (43%) had a poor neurological prognosis at 1 year. Ischemic stroke occurred in 11 patients (13.6%) within a median time of 2 days (2-2.5). No ischemic stroke occurred in the first year after ICU discharge in both groups. In our study, good prognosis at 1 year was not associated with ischemic complications [3 (10) vs 3 (12) p = 1].ConclusionIschemic complications after BCVI are rare, occur within the first week and do not seem to impact independently the 1-year neurological prognosis.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…