Transection of the thoracic aorta: assessment of a XXXX system.

@entity1 @entity1230 @entity1167 @entity1913 @entity204 @entity130
A large, heavily populated area regionalized the care of critical @entity130 in 1980. To evaluate the system, we reviewed @entity1 outcome for thoracic aortic transection due to @entity1913 for the first 18 months of @entity130 system operation. Of the total of 86 @entity1 , 43 were transferred to @entity130 centers, 8 to nontrauma centers, and 35 were either directly transported to the coroner or dead on arrival at the hospital. Of the eight @entity1 transported to non- @entity130 centers, seven were in @entity1167 during transport and the eighth was pronounced dead shortly after admission to the emergency department. Twenty-seven of the 43 @entity1 transferred to @entity130 centers were dead within 24 minutes of admission. The cause of @entity204 was rupture of a transected aorta in 22 @entity1 and other @entity1230 in the remaining 5. Sixteen were alive long enough in the emergency department for evaluation. Nine of these @entity1 underwent correction of aortic transection as well as other injuries and all survived. Two of the nine survivors sustained partial or complete spinal cord damage. The remaining seven @entity1 died, but in only one @entity1 did the undiagnosed @entity130 contribute to the cause of @entity204 . This @entity1 had a normal cineangiogram and the diagnosis was made at autopsy. He was considered potentially salvageable, so 9 of 10 potentially salvageable @entity1 survived (90 percent). Of the total of 86 @entity1 with aortic transection, 77 died (90 percent). This study shows that regionalization of @entity130 care offers an excellent chance for survival of @entity1 with thoracic aortic transection.
