Age differences of arterial trauma – Selection of the most appropriate age classification
More details
Hide details
Danylo Halytskiy Lviv National Medical University, Ukraine
Submission date: 2020-07-03
Final revision date: 2020-10-16
Acceptance date: 2020-10-17
Online publication date: 2020-11-02
Corresponding author
Vitaliy Petrov   

Danylo Halytskiy Lviv National Medical University, Department of Surgery #2, 69, Pekarska, Lviv, Ukraine, 79010.
Pol. Ann. Med. 2021;28(1):45-49
Studies on age differences of arterial trauma (AT) carry significant methodological differences in terms of selection of the most appropriate age classification.

This study aims to verify the most optimal age classification when comparing clinical patterns of the civil AT.

Material and methods:
222 AT patients were identified from the Lviv Clinical Regional Hospital. In each case the following clinical patterns were identified: patient age, etiology, mechanism, AT type, topography, diagnostics mode, treatment type. Patients were distributed using six age classifications (Erikson 1950, UN 1989, Quinn 1994, Craig 2000, WHO physical activity recommendations 2010, by decades of life). Generalized linear models (GLMs) were created, with age distributions as predictors and clinical patterns as dependent factors. Akaike information criterion (AIK) was used to compare the quality of statistical sets.

Results and discussion:
Six GLMs were obtained, in each age of them age classifications were compared using the AIK. Rating list of age classifications was developed (starting with the most appropriate and ending with the least appropriate): E. Erikson (1950) → V. Quinn (1994) → G. Craig (2000) → UN (1989) → Decades → WHO (2010).

Human development classifications may be preferable in assessing the age differences of AT in patients of wide range.

None declared.
None declared.
Jaha L, Andreevska T, Rudari H, Ademi B, Ismaili-Jaha V. A decade of civilian vascular trauma in Kosovo. World J Emerg Surg. 2012;7(1):24.
Li Z, Zhao L, Wang K, et al. Characteristics and treatment of vascular injuries: A review of 387 cases at a Chinese center. Int J Clin Exp Med. 2014;7(12):4710–4719.
Sah B, Shrestha KG, Tiwari KK, Reddy J. Analysis of consecutive cases of vascular injury in tertiary level hospital in Central Nepal. J Coll Med Sci. 2017;13(3):357–362.
Seenivasan E, Murugesan R, Kumar T. Vascular injuries pattern following road traffic accidents – a prospective study. Indian J Basic Appl Med Res. 2018;8(1):506–509.
de Moraes Silva MA, Burihan MC, da Costa Barros O, et al. Trauma vascular na população pediátrica. J Vasc Bras. 2012;11(3):199–205 [in Portuguese].
Wahlgren CM, Kragsterman B. Management and outcome of pediatric vascular injuries. J Trauma Acute Care Surg. 2015;79(4):563–567.
Allen CJ, Wagenaar AE, Horkan DB, et al. Predictors of mortality in pediatric trauma: experiences of a level 1 trauma center and an assessment of the International Classification Injury Severity Score (ICISS). Pediatr Surg Int. 2016;32(7):657–663.
Baram A, Kakamad FH, Shali WF, Sayed-Nouri R. Vascular trauma registry analysis in Sulaimani Province of Southern Kurdistan. Surg Sci. 2015;6(8):369–375.
Perkins ZB, De’Ath HD, Aylwin C, Brohi K, Walsh M, Tai NRM. Epidemiology and outcome of vascular trauma at a British major trauma centre. Eur J Vasc Endovasc Surg. 2012;44(2):203–209.
Chen W, Su Y, Zhang Q, et al. A proposed new system of coding and injury classification for arteries in the trunk and extremities. Injury. 2012;43(9):1539–1546.
Corneille MG, Gallup TM, Villa C, et al. Pediatric vascular injuries: Acute management and early outcomes. J Trauma. 2011;70(4):823–828.
Jaipuria J, Sagar S, Singhal M, et al. Paediatric extremity vascular injuries – experience from a large urban trauma centre in India. Injury. 2014;45(1):176–182.
Morão S, Ferreira RS, Camacho N, et al. Vascular trauma in children – review from a major paediatric center. Ann Vasc Surg. 2018;49:229–233.
Gupta R, Rao S, Sieunarine K. An epidemiological view of vascular trauma in western Australia: A 5-year study. ANZ J Surg. 2001;71(8):461–466.
De’Ath HDI, Galland RB. Iatrogenic and non-iatrogenic vascular trauma in a district general hospital: a 21-year review. World J Surg. 2010;34(10):2363–2367.
Fingerhut A, Leppäniemi AK, Androulakis GA, et al. The European experience with vascular injuries. Surg Clin North Am. 2002;82(1):175–188.
Sekharan J, Dennis JW, Veldenz HC, Miranda F, Frykberg ER. Continued experience with physical examination alone for evaluation and management of penetrating zone 2 neck injuries: Results of 145 cases. J Vasc Surg. 2000;32(3):483–489.
Sonneborn R, Andrade R, Bello F, et al. Vascular trauma in Latin America: a regional survey. Surg Clin North Am. 2002;82(1):189–194.
Shor N, Chumak Y, Reuka V, et al. [30-year experience of acute vascular trauma]. Kharkivska Khirurhichna Shkola. 2006;20(1):134–136.
Ammar AA. Peripheral arterial injuries in pediatric age group. J Trauma Inj. 2016;29(2):37–42.
Wani ML, Ahangar AG, Ganie FA, Wani SN, Wani ND. Vascular injuries: trends in management. Trauma Mon. 2012;17(2):266–269.
Depboylu B, Kulcu N, Yolyapan D. Our surgical experience in peripheral vascular injuries: retrospective analysis of 45 cases. Turkish J Vasc Surg. 2015;24(1):22–28.
Siracuse J, Farber A, Cheng T, Jones D. Lower extremity vascular injuries caused by firearms have a higher risk of amputation and death compared with non- firearm penetrating trauma. J Vasc Surg. 2020;72(4):1–8.
Hicks CW, Canner JK, Zarkowsky DS, Arhuidese I, Obeid T, Malas MB. Racial disparities after vascular trauma are age-dependent. J Vasc Surg. 2016;64(2):418–424.
Branco BC, DuBose JJ, Zhan LX, et al. Trends and outcomes of endovascular therapy in the management of civilian vascular injuries. J Vasc Surg. 2014;60(5):1297–1307.e1.
Konstantinidis A, Inaba K, Dubose J, et al. Vascular trauma in geriatric patients: a national trauma databank review. J Trauma. 2011;71(4):909–916.
Barmparas G, Inaba K, Talving P, et al. Pediatric vs adult vascular trauma: a National Trauma Databank review. J Pediatr Surg. 2010;45(7):1404–1412.
Journals System - logo
Scroll to top