論文

国際誌
2021年12月15日

The effect of participation of interventional radiology team in a primary trauma survey on patient outcome.

Diagnostic and interventional imaging
  • Ichiro Okada
  • Toru Hifumi
  • Hisashi Yoneyama
  • Kazushige Inoue
  • Satoshi Seki
  • Ippei Jimbo
  • Hiroaki Takada
  • Koichi Nagasawa
  • Saiko Kohara
  • Tsuyoshi Hishikawa
  • Eiju Hasegawa
  • Kohei Morimoto
  • Yoshiaki Ichinose
  • Fumie Sato
  • Nobuaki Kiriu
  • Junichi Matsumoto
  • Shoji Yokobori
  • 全て表示

103
4
開始ページ
209
終了ページ
215
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.diii.2021.11.002

PURPOSE: The purpose of this study was to examine the survival benefits of a workflow in which an interventional radiology (IR) team participates in a primary trauma survey on patients with hemodynamically unstable trauma. MATERIALS AND METHODS: A retrospective observational study was conducted between 2012 and 2019 at a single institution. Patients who underwent an IR procedure as the initial hemostasis were assigned to the hemodynamically stable group (HSG) or hemodynamically unstable group (HUG). The primary and secondary outcomes were survival at hospital discharge compared with the probability of survival (Ps) and the time course. RESULTS: A total of 160 patients (100 men, 60 women; median age, 57.5 years [interquartile range (IQR): 31.5-72 years]) with an injury severity score of 24 (IQR: 13.75-34) were included. A total of 125 patients were included in the HSG group and 35 patients in the HUG group. The observational survival rate was significantly greater than the Ps rate by 4.9% (95% confidence interval [CI]: 1.6-8.4%; P = 0.005) in HSG and by 24.6% in HUG (95% CI: 16.9-32.3%; P < 0.001). The observational survival rate was significantly greater than Ps in HUG than in HSG (P < 0.001). The median time to initiate IR procedures and the median procedure time in HUG were 54 min [IQR: 45-66 min] and 48 min [IQR: 30-85 min], respectively; both were significantly shorter than those in the HSG. CONCLUSION: A trauma workflow utilizing an IR team in a primary survey is associated with improved survival of patients with hemodynamically unstable trauma when compared with Ps with a shorter time course.

リンク情報
DOI
https://doi.org/10.1016/j.diii.2021.11.002
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34922886
ID情報
  • DOI : 10.1016/j.diii.2021.11.002
  • PubMed ID : 34922886

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