Traumatic diaphragmatic injury in the American College of Surgeons National Trauma Data Bank

A new examination of a rare diagnosis

Kelly A. Fair, Nicole T. Gordon, Ronald R. Barbosa, Susan Rowell, Jennifer Watters, Martin Schreiber

    Research output: Contribution to journalArticle

    26 Citations (Scopus)

    Abstract

    Background Traumatic diaphragmatic injury (TDI) is a rarely diagnosed injury in trauma. Previous studies have been limited in their evaluation of TDI because of small population size and center bias. Although injuries may be suspected based on penetrating mechanism, blunt injuries may be particularly difficult to detect. The American College of Surgeons National Trauma Data Bank is the largest trauma database in the United States. We hypothesized that we could identify specific injury patterns associated with blunt and penetrating TDIs. Methods We examined demographics, diagnoses, mechanism of injury, and outcomes for patients with TDI in 2012 as this is the largest and most recent dataset available. Comparisons were made using chi-square or independent samples t test. Results There were a total of 833,309 encounters in the National Trauma Data Bank in 2012. Three thousand eight hundred seventy-three patients had a TDI (.46%). Of those, 1,240 (33%) patients had a blunt mechanism and 2,543 (67%) had a penetrating mechanism. Patients with blunt TDI were older (44 ± 19 vs 31 ± 13 years, P

    Original languageEnglish (US)
    Pages (from-to)864-869
    Number of pages6
    JournalAmerican Journal of Surgery
    Volume209
    Issue number5
    DOIs
    StatePublished - May 1 2015

    Fingerprint

    Databases
    Wounds and Injuries
    Nonpenetrating Wounds
    Population Density
    Demography

    Keywords

    • Blunt trauma
    • Traumatic diaphragmatic injury

    ASJC Scopus subject areas

    • Surgery
    • Medicine(all)

    Cite this

    Traumatic diaphragmatic injury in the American College of Surgeons National Trauma Data Bank : A new examination of a rare diagnosis. / Fair, Kelly A.; Gordon, Nicole T.; Barbosa, Ronald R.; Rowell, Susan; Watters, Jennifer; Schreiber, Martin.

    In: American Journal of Surgery, Vol. 209, No. 5, 01.05.2015, p. 864-869.

    Research output: Contribution to journalArticle

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    abstract = "Background Traumatic diaphragmatic injury (TDI) is a rarely diagnosed injury in trauma. Previous studies have been limited in their evaluation of TDI because of small population size and center bias. Although injuries may be suspected based on penetrating mechanism, blunt injuries may be particularly difficult to detect. The American College of Surgeons National Trauma Data Bank is the largest trauma database in the United States. We hypothesized that we could identify specific injury patterns associated with blunt and penetrating TDIs. Methods We examined demographics, diagnoses, mechanism of injury, and outcomes for patients with TDI in 2012 as this is the largest and most recent dataset available. Comparisons were made using chi-square or independent samples t test. Results There were a total of 833,309 encounters in the National Trauma Data Bank in 2012. Three thousand eight hundred seventy-three patients had a TDI (.46{\%}). Of those, 1,240 (33{\%}) patients had a blunt mechanism and 2,543 (67{\%}) had a penetrating mechanism. Patients with blunt TDI were older (44 ± 19 vs 31 ± 13 years, P",
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