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 we...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2021-12, Vol.47 (6), p.1661-1669 |
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| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
| container_volume | 47 |
| creator | 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 |
| 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. |
| doi_str_mv | 10.1007/s00068-020-01497-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8629886</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2444386806</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-c6d4d55a009f063e6459903e04eaf5ed49367b3bfaf3c06022319e7f07afbcc23</originalsourceid><addsrcrecordid>eNp9kU9v1DAQxS0EomXhC3BAlrhwCTi248QckFBFAakSl3K2HGey6yqxgycJ2jsfHLcpy58DJ9ua35uZ50fI85K9Lhmr3yBjTDUF46xgpdR1oR-Q87JRotBalg9PdyHOyBPEm0wzVfHH5ExwLTWX9Tn5cZ1sQJtmSN4OFMY2Dh7t7GOgHqlFjM7bGTr63c8H6scpxTW_cEmrX7PCBzplHMKMGzLBsHpH-2TdvCR4S7NigoB-PlJ0MQEd7ewOPuypDXY4IuBT8qi3A8Kz-3NHvl5-uL74VFx9-fj54v1V4WQt58KpTnZVZRnTPVMClKy0ZgKYBNtX0EktVN2Ktre9cNkr56LUUPestn3rHBc78m7rOy3tCJ3LSyc7mCn50aajidabvyvBH8w-rqZRXDf5M3fk1X2DFL8tgLMZPToYBhsgLmi4lFI0qmG36Mt_0Ju4pGw4U4pJLrWsWKb4RrkUERP0p2VKZm5DNlvIJods7kI2Oote_GnjJPmVagbEBmAuhT2k37P_0_YnsN23IQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2604249450</pqid></control><display><type>article</type><title>Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>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</creator><creatorcontrib>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</creatorcontrib><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.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-020-01497-9</identifier><identifier>PMID: 32949247</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Clinical outcomes ; Critical Care Medicine ; Embolization ; Embolization, Therapeutic ; Emergency medical care ; Emergency Medicine ; Fractures ; Fractures, Bone - therapy ; Hemorrhage ; Humans ; Intensive ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pelvic Bones ; Pelvis ; Propensity Score ; Retrospective Studies ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Trauma ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2021-12, Vol.47 (6), p.1661-1669</ispartof><rights>The Author(s) 2020</rights><rights>2020. The Author(s).</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-c6d4d55a009f063e6459903e04eaf5ed49367b3bfaf3c06022319e7f07afbcc23</citedby><cites>FETCH-LOGICAL-c474t-c6d4d55a009f063e6459903e04eaf5ed49367b3bfaf3c06022319e7f07afbcc23</cites><orcidid>0000-0003-4504-9898</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-020-01497-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-020-01497-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32949247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hohyun</creatorcontrib><creatorcontrib>Jeon, Chang Ho</creatorcontrib><creatorcontrib>Kim, Jae Hun</creatorcontrib><creatorcontrib>Sun, Hyun-Woo</creatorcontrib><creatorcontrib>Ryu, Dongyeon</creatorcontrib><creatorcontrib>Lee, Kang Ho</creatorcontrib><creatorcontrib>Park, Chan Ik</creatorcontrib><creatorcontrib>Jang, Jae Hoon</creatorcontrib><creatorcontrib>Park, Sung Jin</creatorcontrib><creatorcontrib>Yeom, Seok Ran</creatorcontrib><title>Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><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.</description><subject>Clinical outcomes</subject><subject>Critical Care Medicine</subject><subject>Embolization</subject><subject>Embolization, Therapeutic</subject><subject>Emergency medical care</subject><subject>Emergency Medicine</subject><subject>Fractures</subject><subject>Fractures, Bone - therapy</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pelvic Bones</subject><subject>Pelvis</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Trauma</subject><subject>Traumatic Surgery</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU9v1DAQxS0EomXhC3BAlrhwCTi248QckFBFAakSl3K2HGey6yqxgycJ2jsfHLcpy58DJ9ua35uZ50fI85K9Lhmr3yBjTDUF46xgpdR1oR-Q87JRotBalg9PdyHOyBPEm0wzVfHH5ExwLTWX9Tn5cZ1sQJtmSN4OFMY2Dh7t7GOgHqlFjM7bGTr63c8H6scpxTW_cEmrX7PCBzplHMKMGzLBsHpH-2TdvCR4S7NigoB-PlJ0MQEd7ewOPuypDXY4IuBT8qi3A8Kz-3NHvl5-uL74VFx9-fj54v1V4WQt58KpTnZVZRnTPVMClKy0ZgKYBNtX0EktVN2Ktre9cNkr56LUUPestn3rHBc78m7rOy3tCJ3LSyc7mCn50aajidabvyvBH8w-rqZRXDf5M3fk1X2DFL8tgLMZPToYBhsgLmi4lFI0qmG36Mt_0Ju4pGw4U4pJLrWsWKb4RrkUERP0p2VKZm5DNlvIJods7kI2Oote_GnjJPmVagbEBmAuhT2k37P_0_YnsN23IQ</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Kim, Hohyun</creator><creator>Jeon, Chang Ho</creator><creator>Kim, Jae Hun</creator><creator>Sun, Hyun-Woo</creator><creator>Ryu, Dongyeon</creator><creator>Lee, Kang Ho</creator><creator>Park, Chan Ik</creator><creator>Jang, Jae Hoon</creator><creator>Park, Sung Jin</creator><creator>Yeom, Seok Ran</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4504-9898</orcidid></search><sort><creationdate>20211201</creationdate><title>Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses</title><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></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-c6d4d55a009f063e6459903e04eaf5ed49367b3bfaf3c06022319e7f07afbcc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical outcomes</topic><topic>Critical Care Medicine</topic><topic>Embolization</topic><topic>Embolization, Therapeutic</topic><topic>Emergency medical care</topic><topic>Emergency Medicine</topic><topic>Fractures</topic><topic>Fractures, Bone - therapy</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pelvic Bones</topic><topic>Pelvis</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Trauma</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hohyun</creatorcontrib><creatorcontrib>Jeon, Chang Ho</creatorcontrib><creatorcontrib>Kim, Jae Hun</creatorcontrib><creatorcontrib>Sun, Hyun-Woo</creatorcontrib><creatorcontrib>Ryu, Dongyeon</creatorcontrib><creatorcontrib>Lee, Kang Ho</creatorcontrib><creatorcontrib>Park, Chan Ik</creatorcontrib><creatorcontrib>Jang, Jae Hoon</creatorcontrib><creatorcontrib>Park, Sung Jin</creatorcontrib><creatorcontrib>Yeom, Seok Ran</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hohyun</au><au>Jeon, Chang Ho</au><au>Kim, Jae Hun</au><au>Sun, Hyun-Woo</au><au>Ryu, Dongyeon</au><au>Lee, Kang Ho</au><au>Park, Chan Ik</au><au>Jang, Jae Hoon</au><au>Park, Sung Jin</au><au>Yeom, Seok Ran</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>47</volume><issue>6</issue><spage>1661</spage><epage>1669</epage><pages>1661-1669</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32949247</pmid><doi>10.1007/s00068-020-01497-9</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4504-9898</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2021-12, Vol.47 (6), p.1661-1669 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Clinical outcomes Critical Care Medicine Embolization Embolization, Therapeutic Emergency medical care Emergency Medicine Fractures Fractures, Bone - therapy Hemorrhage Humans Intensive Medicine Medicine & Public Health Original Original Article Pelvic Bones Pelvis Propensity Score Retrospective Studies Sports Medicine Surgery Surgical Orthopedics Trauma Traumatic Surgery |
| title | Transarterial embolisation is associated with improved survival in patients with pelvic fracture: propensity score matching analyses |
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