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European Journal of Trauma and Emergency Surgery

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Open Access 01-12-2021 | Polytrauma | Original Article

Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses

Authors: Hohyun Kim, Chang Ho Jeon, Jae Hun Kim, Hyun-Woo Sun, Dongyeon Ryu, Kang Ho Lee, Chan Ik Park, Jae Hoon Jang, Sung Jin Park, Seok Ran Yeom

Published in: European Journal of Trauma and Emergency Surgery | Issue 6/2021

Abstract

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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Title: Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses
Authors: Hohyun Kim
Chang Ho Jeon
Jae Hun Kim
Hyun-Woo Sun
Dongyeon Ryu
Kang Ho Lee
Chan Ik Park
Jae Hoon Jang
Sung Jin Park
Seok Ran Yeom
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Polytrauma
Pelvic Trauma
Polytrauma
Published in: European Journal of Trauma and Emergency Surgery / Issue 6/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-020-01497-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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