Relationship between door-to-embolization time and clinical outcomes after transarterial embolization in trauma patients with complex pelvic fracture

• DOI: 10.1007/s00068-021-01601-7
• Publication Date: 2021-02-01T09:04:22Z
• Authors: Hohyun Kim; Chang Ho Jeon; Jae Hun Kim; Hoon Kwon; Chang Won Kim; Gil Hwan Kim; Chan Kyu Lee; Sang Bong Lee; Jae Hoon Jang; Seon Hee Kim; Chan Yong Park; Seok Ran Yeom
• Keywords: Interquartile range; Pelvic fracture

While transarterial embolization (TAE) is an effective way to control arterial bleeding associated with pelvic fracture, the clinical outcomes according door-to-embolization (DTE) time are unclear. This study investigated how DTE affects in patients severe fracture.Using a trauma database between November 1, 2015 and December 31, 2019, undergoing TAE were retrospectively reviewed. The final population included 192 treated TAE. relationships patients' evaluated. Multiple binomial logistic regression analyses, multiple linear Cox hazard proportional analyses performed estimate impacts of on outcomes.The median was 150 min (interquartile range, 121-184). mortality rates first 24 h overall 3.7% 14.6%, respectively. served as independent risk factor for (adjusted odds ratio = 2.00, 95% confidence interval [CI] 1.20-3.34, p 0.008). In hazards adjusted at 28 days 1.24 (95% CI 1.04-1.47, 0.014). addition, there positive relationship requirement packed red blood cell transfusion during initial negative ICU-free day 28.Shorter better survival h, well other outcomes, complex fracture who underwent Efforts minimize recommended improve