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Tytuł pozycji:

In-Hospital Mortality Risk of Transcatheter Arterial Embolization for Patients with Severe Blunt Trauma: A Nationwide Observational Study

Tytuł:
In-Hospital Mortality Risk of Transcatheter Arterial Embolization for Patients with Severe Blunt Trauma: A Nationwide Observational Study
Autorzy:
Masayasu Gakumazawa
Chiaki Toida
Takashi Muguruma
Mafumi Shinohara
Takeru Abe
Ichiro Takeuchi
Temat:
blunt trauma
transcatheter arterial embolization
in-hospital mortality
inter-hospital transfer
age-related differences
haemodynamic stabilization
Medicine
Źródło:
Journal of Clinical Medicine, Vol 9, Iss 11, p 3485 (2020)
Wydawca:
MDPI AG, 2020.
Rok publikacji:
2020
Kolekcja:
LCC:Medicine
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
2077-0383
Relacje:
https://www.mdpi.com/2077-0383/9/11/3485; https://doaj.org/toc/2077-0383
DOI:
10.3390/jcm9113485
Dostęp URL:
https://doaj.org/article/0c6c625e76c04e4c8578d4adf0147fce  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.0c6c625e76c04e4c8578d4adf0147fce
Czasopismo naukowe
This study investigated the risk factors for in-hospital mortality of severe blunt trauma patients who underwent transcatheter arterial embolization (TAE). We analysed data from the Japan Trauma Data Bank from 2009 to 2018. Patients with severe blunt trauma and an Injury Severity Score (ISS) ≥ 16 who underwent TAE were enrolled. The primary analysis evaluated patient characteristics and outcomes, and variables with significant differences were included in the secondary multivariate logistic regression analysis. In total, 5800 patients (6.4%) with ISS ≥ 16 underwent TAE. There were significant differences in the proportion of male patients, transportation method, injury mechanism, injury region, Revised Trauma Score, survival probability values, and those who underwent urgent blood transfusion and additional urgent surgery. In multivariable regression analyses, higher age, urgent blood transfusion, and initial urgent surgery were significantly associated with higher in-hospital mortality risk [p < 0.001, odds ratio (OR), 95% confidence interval (CI): 1.01 (1.00–1.01); p < 0.001, 3.50 (2.55–4.79); and p = 0.001, 1.36 (1.13–1.63), respectively]. Inter-hospital transfer was significantly associated with lower in-hospital mortality risk (p < 0.001, OR = 0.56, 95% CI = 0.44–0.71). Treatment protocols for urgent intervention before and after TAE and a safe, rapid inter-hospital transport system are needed to improve mortality risks for severe blunt trauma patients.

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