| アブストラクト | BACKGROUND: The epidemiology of traumatic thoracic aortic injury has not been reported in many countries, so we investigated the current trends in Japan. METHODS AND RESULTS: Patients with traumatic thoracic aortic injury from July 2007 to March 2013 were identified using a Japanese nationwide administrative database, the Diagnosis Procedure Combination inpatient database. The trends in crude in-hospital mortality and proportion of endovascular repair use among patients with repair were evaluated over time. A total of 617 incident cases of thoracic aortic injury were identified at 234 hospitals, and categorized into endovascular repair (n=126), open repair (n=76), and non-repair (n=415) groups. The in-hospital mortality rate for each of these groups was 5.6%, 15.8%, and 45.3%, respectively. The in-hospital survival rate was higher in the endovascular repair group than in the open repair group (log-rank chi(2)=4.9; P=0.03). Although the crude in-hospital mortality did not change significantly during the study period (Mantel-Haenszel trend test, P=0.10), the proportion of endovascular repair use among all repair cases increased significantly (P<0.001). CONCLUSIONS: The results of the present nationwide study suggest that the endovascular approach to treatment of thoracic aortic injury in Japan gained in popularity from 2007 to 2012. |
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| ジャーナル名 | Circulation journal : official journal of the Japanese Circulation Society |
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| 投稿日 | 2014/11/18 |
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| 投稿者 | Tagami, Takashi; Matsui, Hiroki; Horiguchi, Hiromasa; Fushimi, Kiyohide; Yasunaga, Hideo |
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| 組織名 | Department of Clinical Epidemiology and Health Economics, School of Public;Health, Graduate School of Medicine, The University of Tokyo, Tokyo; Department;of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo.;t-tagami@nms.ac.jp |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/25399756/ |
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