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

Authors :
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
Source :
Diagnostic and Interventional Imaging. 103:209-215
Publication Year :
2022
Publisher :
Elsevier BV, 2022.

Abstract

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.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.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%; P0.001). The observational survival rate was significantly greater than Ps in HUG than in HSG (P0.001). 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.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.

Details

ISSN :
22115684
Volume :
103
Database :
OpenAIRE
Journal :
Diagnostic and Interventional Imaging
Accession number :
edsair.doi.dedup.....01ef0bbef3d73c53f283330051abd973