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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629886/
https://www.ncbi.nlm.nih.gov/pubmed/32949247
http://dx.doi.org/10.1007/s00068-020-01497-9
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author 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
author_facet 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
author_sort Kim, Hohyun
collection PubMed
description 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.
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spelling pubmed-86298862021-12-15 Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses 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 Eur J Trauma Emerg Surg Original Article 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. Springer Berlin Heidelberg 2020-09-19 2021 /pmc/articles/PMC8629886/ /pubmed/32949247 http://dx.doi.org/10.1007/s00068-020-01497-9 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
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
Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
title Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
title_full Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
title_fullStr Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
title_full_unstemmed Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
title_short Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
title_sort transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629886/
https://www.ncbi.nlm.nih.gov/pubmed/32949247
http://dx.doi.org/10.1007/s00068-020-01497-9
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