Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses.
Introduction: Transarterial embolisation (TAE) is an effective intervention for management of arterial haemorrhage associated with pelvic fracture. However, its effects on survival and clinical outcomes are unclear. Methods: Trauma patients with survival data between November 2015 and December 2019...
| Published in: | European Journal of Trauma & Emergency Surgery Vol. 47; no. 6; pp. 1661 - 1670 |
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| Main Authors: | , , , , , , , , , |
| Format: | algorithm research tables/charts Journal Article |
| Published: |
Springer Nature
Dec2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153847216&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153847216 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Dec2021 vid: 47 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 153847216 145928084 153847216 153847216 10.1007/s00068-020-01497-9 153847216 ppf: 1661 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses. aug: au: Kim, Hohyun Jeon, Chang Ho Kim, Jae Hun Sun, Hyun-Woo Ryu, Dongyeon Lee, Kang Ho Park, Chan Ik Jang, Jae Hoon Park, Sung Jin Yeom, Seok Ran affil: Department of Trauma and Surgical Critical Care, Pusan National University Hospital, 179 Gudeok-Ro, Seo-Gu, 602-739, Busan, Korea sug: subj: Pelvic Fractures Complications Pelvic Fractures Prognosis Hemorrhage Surgery Embolization, Therapeutic Methods Treatment Outcomes Evaluation Human Emergency Patients Comparative Studies Registries, Trauma Multiple Logistic Regression Survival Analysis Descriptive Statistics Odds Ratio Confidence Intervals ab: Introduction: Transarterial embolisation (TAE) is an effective intervention for management of arterial haemorrhage associated with pelvic fracture. However, its effects on survival and clinical outcomes are unclear. Methods: Trauma patients with survival data between November 2015 and December 2019 were identified using a trauma database. Patients were divided between TAE and non-TAE groups, and a propensity score was developed using multivariate logistic regression. Survival at 28 days was compared between the groups after propensity score matching. Results: Among 881 patients included in this study, 308 (35.0%) were treated with TAE. After propensity score matching, 130 pairs were selected. Survival at 28 days was significantly higher among patients treated with TAE than among those treated without TAE [122 (93.9%) vs. 112 (86.2%); odds ratio = 2.45; 95% CI 1.02–5.86; p = 0.039]. Conclusions: TAE use was associated with improved survival at 28 days in patients with pelvic fracture and should therefore be considered in the management of severely injured patients with pelvic fracture. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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